Anaesthesia and Beckwith-Weideman syndrome

Bosenberg, A

Anaesthesia and Beckwith-Weideman syndrome

Journal Article

2003

Journal Title

Southern African Journal of Anaesthesia and Analgesia

Link to Journal

http://www.sajaa.co.za/index.php/sajaa

Publisher

University of Cape Town

Department

Department of Anaesthesia

Faculty

Faculty of Health Sciences

Abstract

Synopsis of patient: A 15 hour old, 4.2 kg male presents for closure of a large exomphalos. He was delivered by C-section for foetal distress after a prolonged labour at a peripheral hospital. Apgars were recorded as 6 and 8. His mother was an unmarried primigravida who attended antenatal clinic on one occasion. Meconium aspiration was suspected at birth. Preoperative assessment revealed a large term baby with features of Beckwith-Weideman syndrome - a large tongue; a faint naevus on the forehead; and a skin crease on the ear lobe. Assessment of the liver and spleen was difficult in view of the large omphalocoele (5x6cm). The exomphalos was stained by the meconium in utero. He was tachypnoeic but the chest was clear. There was a 2/6 ejection systolic murmur at the left sternal border. Chest xray was normal apart from mild cardiomegaly. Blood sugar on admission was 1.2 mmol.l ; electrolytes were within normal limits. Haemoglobin was 17gm. (Hct 55).

Reference:

Collections

Journal Articles

Full item page