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OBSTETRIC ANESTHESIA

Epidural Labor Analgesia for a Patient with Disseminated Lymphangiomatosis

Isuta Nishio, MD PhD^*, Gordon L. Mandell, MD, Sivam Ramanathan, MD, and Jules H. Sumkin, DO

*Department of Anesthesiology, University of Pittsburgh, UPMC St. Margaret Pain Medicine Center, Pittsburgh, Pennsylvania; and Departments of Anesthesiology and Radiology, University of Pittsburgh, Magee-Womens Hospital, Pittsburgh, Pennsylvania

Address correspondence and reprint requests to Isuta Nishio, MD, UPMC St. Margaret Pain Medicine Center, 200 Delafield Ave., Ste. 2070, Pittsburgh, PA 15215. Address e-mail to nishioi{at}anes.upmc.edu

IMPLICATIONS: We describe a case of a parturient with disseminated lymphangiomatosis involving the thorax, retroperitoneum, and lumbar vertebrae who received epidural labor analgesia. Clinical presentations vary depending on the organ systems involved, the extent of the disease, and the stage of pregnancy. Anesthetic implications are discussed.

Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999