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[Anaesthetic implications in a pregnant patient with an extreme thrombocytopenia due to a May-Hegglin anomaly: general o regional anaesthesia?].
Rev Esp Anestesiol Reanim. 2014 Oct; 61(8):460-5.RE

Abstract

The May-Hegglin anomaly is an inherited disorder, so uncommon that the incidence is still unknown. It is characterized by macro-thrombocytopenia with normal platelet function and cytoplasmic inclusion bodies in granulocytes. The case is reported of a 28-year-old primiparous patient who had an urgent caesarean section due to failed induction of labour. The patient had no history of abnormal bleeding. Other causes of thrombocytopenia or platelet dysfunction, such as preeclampsia, HELLP syndrome, or placental abruption, were ruled out. The platelet count prior to surgery was 20,900/mm(3) with normal platelet function. General anaesthesia was performed. No excessive bleeding occurred and a platelet transfusion was not needed.

Authors+Show Affiliations

Servicio de Anestesiología y Reanimación, Hospital Universitario de Guadalajara, Guadalajara, España. Electronic address: gemmavallejo@gmail.com.Servicio de Anestesiología y Reanimación, Hospital Universitario de Guadalajara, Guadalajara, España.Servicio de Anestesiología y Reanimación, Hospital Universitario de Guadalajara, Guadalajara, España.Servicio de Anestesiología y Reanimación, Hospital Universitario de Guadalajara, Guadalajara, España.Servicio de Anestesiología y Reanimación, Hospital Universitario de Guadalajara, Guadalajara, España.

Pub Type(s)

Case Reports
Journal Article
Review

Language

spa

PubMed ID

24704095

Citation

García Vallejo, G, et al. "[Anaesthetic Implications in a Pregnant Patient With an Extreme Thrombocytopenia Due to a May-Hegglin Anomaly: General O Regional Anaesthesia?]." Revista Espanola De Anestesiologia Y Reanimacion, vol. 61, no. 8, 2014, pp. 460-5.
García Vallejo G, Cabellos M, Kabiri M, et al. [Anaesthetic implications in a pregnant patient with an extreme thrombocytopenia due to a May-Hegglin anomaly: general o regional anaesthesia?]. Rev Esp Anestesiol Reanim. 2014;61(8):460-5.
García Vallejo, G., Cabellos, M., Kabiri, M., Fraile, J. R., & Cuesta, J. (2014). [Anaesthetic implications in a pregnant patient with an extreme thrombocytopenia due to a May-Hegglin anomaly: general o regional anaesthesia?]. Revista Espanola De Anestesiologia Y Reanimacion, 61(8), 460-5. https://doi.org/10.1016/j.redar.2014.02.006
García Vallejo G, et al. [Anaesthetic Implications in a Pregnant Patient With an Extreme Thrombocytopenia Due to a May-Hegglin Anomaly: General O Regional Anaesthesia?]. Rev Esp Anestesiol Reanim. 2014;61(8):460-5. PubMed PMID: 24704095.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Anaesthetic implications in a pregnant patient with an extreme thrombocytopenia due to a May-Hegglin anomaly: general o regional anaesthesia?]. AU - García Vallejo,G, AU - Cabellos,M, AU - Kabiri,M, AU - Fraile,J R, AU - Cuesta,J, Y1 - 2014/04/04/ PY - 2013/09/20/received PY - 2014/02/19/revised PY - 2014/02/25/accepted PY - 2014/4/8/entrez PY - 2014/4/8/pubmed PY - 2016/10/14/medline KW - Anestesia obstétrica KW - Anestesia raquídea KW - Bleeding KW - Caesarean KW - Cesárea KW - Epidural KW - Hemorragia KW - May-Hegglin anomaly KW - Obstetric anaesthesia KW - Spinal anaesthesia KW - Síndrome de May-Hegglin KW - Thrombocytopenia KW - Trombocitopenia SP - 460 EP - 5 JF - Revista espanola de anestesiologia y reanimacion JO - Rev Esp Anestesiol Reanim VL - 61 IS - 8 N2 - The May-Hegglin anomaly is an inherited disorder, so uncommon that the incidence is still unknown. It is characterized by macro-thrombocytopenia with normal platelet function and cytoplasmic inclusion bodies in granulocytes. The case is reported of a 28-year-old primiparous patient who had an urgent caesarean section due to failed induction of labour. The patient had no history of abnormal bleeding. Other causes of thrombocytopenia or platelet dysfunction, such as preeclampsia, HELLP syndrome, or placental abruption, were ruled out. The platelet count prior to surgery was 20,900/mm(3) with normal platelet function. General anaesthesia was performed. No excessive bleeding occurred and a platelet transfusion was not needed. SN - 2340-3284 UR - https://www.unboundmedicine.com/medline/citation/24704095/[Anaesthetic_implications_in_a_pregnant_patient_with_an_extreme_thrombocytopenia_due_to_a_May_Hegglin_anomaly:_general_o_regional_anaesthesia]_ DB - PRIME DP - Unbound Medicine ER -