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Anesthetic considerations in Demons-Meigs’ syndrome: a case report
INTRODUCTION: Demons-Meigs’ syndrome is characterized by the presence of a benign ovarian tumor associated with ascites and a right-sided hydrothorax. Its pathophysiology remains unclear. Anesthesia of this syndrome is a real challenge. Respiratory, hemodynamic, metabolic problems and abdominal hype...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4190591/ https://www.ncbi.nlm.nih.gov/pubmed/25262179 http://dx.doi.org/10.1186/1752-1947-8-320 |
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author | Fjouji, Salaheddine Bensghir, Mustapha Haimeur, Charki Azendour, Hicham |
author_facet | Fjouji, Salaheddine Bensghir, Mustapha Haimeur, Charki Azendour, Hicham |
author_sort | Fjouji, Salaheddine |
collection | PubMed |
description | INTRODUCTION: Demons-Meigs’ syndrome is characterized by the presence of a benign ovarian tumor associated with ascites and a right-sided hydrothorax. Its pathophysiology remains unclear. Anesthesia of this syndrome is a real challenge. Respiratory, hemodynamic, metabolic problems and abdominal hypertension are the main anesthetic risks. CASE PRESENTATION: A 52-year-old African woman with Demons-Meigs’ syndrome was admitted for elective surgery under general anesthesia. An abdominal computed tomography scan showed a tumor mass, with tissue and cystic components associated with abundant ascites and a right pleural effusion of medium abundance. In the operating room after standard monitoring, a crash induction was performed. Just after, her saturation level decreased requiring the use of an alveolar recruitment maneuver followed by the application of positive end-expiratory pressure. Vasoconstrictor and vascular filling were used to correct the hypotension that occurred. Airway pressures remained at 35cm H2O. Maintenance of a slightly proclive position and opening of the abdomen with the progressive removal of 3200ml ascitic fluid allowed a lower thoracic pressure (airway pressures=24cm H2O). Her postoperative course was unremarkable. Clinical evolution after five months was marked by a complete recovery of our patient and no recurrence of effusion or ascites. CONCLUSIONS: Demons-Meigs’ syndrome is a benign disease with a good prognosis. Respiratory and hemodynamic problems and abdominal hypertension are the main anesthetic risks of this syndrome. Good management of these risks is necessary to preserve the prognosis. |
format | Online Article Text |
id | pubmed-4190591 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-41905912014-10-10 Anesthetic considerations in Demons-Meigs’ syndrome: a case report Fjouji, Salaheddine Bensghir, Mustapha Haimeur, Charki Azendour, Hicham J Med Case Rep Case Report INTRODUCTION: Demons-Meigs’ syndrome is characterized by the presence of a benign ovarian tumor associated with ascites and a right-sided hydrothorax. Its pathophysiology remains unclear. Anesthesia of this syndrome is a real challenge. Respiratory, hemodynamic, metabolic problems and abdominal hypertension are the main anesthetic risks. CASE PRESENTATION: A 52-year-old African woman with Demons-Meigs’ syndrome was admitted for elective surgery under general anesthesia. An abdominal computed tomography scan showed a tumor mass, with tissue and cystic components associated with abundant ascites and a right pleural effusion of medium abundance. In the operating room after standard monitoring, a crash induction was performed. Just after, her saturation level decreased requiring the use of an alveolar recruitment maneuver followed by the application of positive end-expiratory pressure. Vasoconstrictor and vascular filling were used to correct the hypotension that occurred. Airway pressures remained at 35cm H2O. Maintenance of a slightly proclive position and opening of the abdomen with the progressive removal of 3200ml ascitic fluid allowed a lower thoracic pressure (airway pressures=24cm H2O). Her postoperative course was unremarkable. Clinical evolution after five months was marked by a complete recovery of our patient and no recurrence of effusion or ascites. CONCLUSIONS: Demons-Meigs’ syndrome is a benign disease with a good prognosis. Respiratory and hemodynamic problems and abdominal hypertension are the main anesthetic risks of this syndrome. Good management of these risks is necessary to preserve the prognosis. BioMed Central 2014-09-27 /pmc/articles/PMC4190591/ /pubmed/25262179 http://dx.doi.org/10.1186/1752-1947-8-320 Text en Copyright © 2014 Fjouji et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Fjouji, Salaheddine Bensghir, Mustapha Haimeur, Charki Azendour, Hicham Anesthetic considerations in Demons-Meigs’ syndrome: a case report |
title | Anesthetic considerations in Demons-Meigs’ syndrome: a case report |
title_full | Anesthetic considerations in Demons-Meigs’ syndrome: a case report |
title_fullStr | Anesthetic considerations in Demons-Meigs’ syndrome: a case report |
title_full_unstemmed | Anesthetic considerations in Demons-Meigs’ syndrome: a case report |
title_short | Anesthetic considerations in Demons-Meigs’ syndrome: a case report |
title_sort | anesthetic considerations in demons-meigs’ syndrome: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4190591/ https://www.ncbi.nlm.nih.gov/pubmed/25262179 http://dx.doi.org/10.1186/1752-1947-8-320 |
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