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Korean Journal of Anesthesiology 2009;57(6):793-795.
DOI: https://doi.org/10.4097/kjae.2009.57.6.793   
Anesthetic management for cesarean section in a patient with Budd-Chiari syndrome: A case report.
Ji Eun Song, Hyeon Jeong Yang, Seong Cheol Park, Duk Hee Chun, Kum Hee Chung, Jong Yeon Lee
Department of Anesthesiology and Pain Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea. ganglions@hanmail.net
Abstract
Budd-Chiari syndrome (BCS) represents a spectrum of disease states resulting in hepatic venous outflow occlusion. Prothrombotic disorders, such as protein S deficiency may cause thrombosis of the portal and hepatic veins. We report the management of a 30-year-old BCS primigravida with protein S deficiency and destroyed lung by the pulmonary tuberculosis scheduled for Cesarean section. Moreover, patient's lungs were destroyed by the pulmonary tuberculosis. Spinal anesthesia was selected for the anesthetic management. The patient recovered without any complication and discharged from hospital on the fifth postoperative day.
Key Words: Budd-Chiari syndrome; Cesarean section; Protein S deficiency; Spinal anesthesia; Tuberculous destroyed lung


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