Sectio caesarea unter Gitelman-Syndrom

Stephan Rombach; Alexander Benner; Martin Alexander Schick

doi:10.1055/a-1299-0579

AINS - Anästhesiologie · Intensivmedizin · Notfallmedizin · Schmerztherapie, Inhaltsverzeichnis

Anästhesiol Intensivmed Notfallmed Schmerzther 2021; 56(04): 289-295
DOI: 10.1055/a-1299-0579

Kasuistik

Sectio caesarea unter Gitelman-Syndrom

Sectio Caesarea under Gitelman Syndrome

Stephan Rombach

¹Department of Anesthesiology and Critical Care Medical Center, University of Freiburg, Freiburg, Germany

²Faculty of Medicine, University of Freiburg, Freiburg, Germany

,

Alexander Benner

¹Department of Anesthesiology and Critical Care Medical Center, University of Freiburg, Freiburg, Germany

²Faculty of Medicine, University of Freiburg, Freiburg, Germany

,

Martin Alexander Schick

¹Department of Anesthesiology and Critical Care Medical Center, University of Freiburg, Freiburg, Germany

²Faculty of Medicine, University of Freiburg, Freiburg, Germany

› Institutsangaben

Abstract

Zusammenfassung

Das Gitelman-Syndrom ist ein seltenes hereditäres Salzverlustsyndrom, das den Anästhesiologen vor eine Herausforderung stellt – insbesondere dann, wenn die Symptomatik durch eine Schwangerschaft zusätzlich verstärkt wird. Dieser Beitrag zeigt anhand eines Fallbeispiels die Besonderheiten im geburtshilflichen Kontext und das anästhesiologische Vorgehen bei einer Sectio caesarea unter Gitelman-Syndrom.

Abstract

Gitelman 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.

Schlüsselwörter

Stoffwechselstörung - Schwangerschaft - Geburtshilfe - Salzverlustsyndrom - anästhesiologisches Management - Nephrologie - Gitelman-Syndrom

Key words

metabolic disorder - pregnancy - obstetrics - salt loss syndrome - anesthesiological management - nephrology - Gitelman syndrome

Volltext

Referenzen

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