• Anasthesiol Intensivmed Notfallmed Schmerzther · Apr 2021

    Case Reports

    [Sectio Caesarea under Gitelman Syndrome].

    • Stephan Rombach, Alexander Benner, and Martin Alexander Schick.
    • Department of Anesthesiology and Critical Care Medical Center, University of Freiburg, Freiburg, Germany.
    • Anasthesiol Intensivmed Notfallmed Schmerzther. 2021 Apr 1; 56 (4): 289-295.

    AbstractGitelman syndrome is a rare inherited renal tubulopathy characterized by hypokalemia, hypomagnesemia and metabolic alcalosis. It is caused by a mutation in the SLC12A3 gene leading to a dysfunction of the thiazide-sensitive sodium chloride cotransporter and the magnesium transporters in the distal convoluted tubules. Only few reports of pregnant woman with Gitelman syndrome exist. Due to many unsolved questions about the impact on pregnancy and the maternal and fetal outcome, the obstetric and anesthesiological management remains a challenge. We discuss the case of a primary cesarean delivery in a 22-year-old woman with a new diagnosed Gitelman syndrome focusing on the anesthesiological approach.Thieme. All rights reserved.

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