Rare Case of Methemoglobinemia Complicating Pregnancy

A patient at 38 weeks of gestation when taken for emergency cesarean section had her oxygen saturation of 66 to 70% (by saturation probe on monitor) in operation theatre. She was otherwise asymptomatic but her oxygen saturation was persistently low on the monitors. Her arterial blood gas analysis sh...

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Main Authors: S. Verma, P. Sachdeva, G. Gandhi
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2016/9740403
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author S. Verma
P. Sachdeva
G. Gandhi
author_facet S. Verma
P. Sachdeva
G. Gandhi
author_sort S. Verma
collection DOAJ
description A patient at 38 weeks of gestation when taken for emergency cesarean section had her oxygen saturation of 66 to 70% (by saturation probe on monitor) in operation theatre. She was otherwise asymptomatic but her oxygen saturation was persistently low on the monitors. Her arterial blood gas analysis showed all parameters to be normal. Her electrocardiography was normal. Her surgery was imperative but due to her reduced oxygen saturation she became a high-risk case. In presence of senior consultants of anesthesia and gynecology and under high-risk consent she had an uneventful cesarean delivery. Physician and cardiologist opinions were sought thereafter. The outcomes and the results of our efforts to find the etiology of her reduced saturation on monitors despite being clinically asymptomatic lead to the disclosure of this rare hemoglobinopathy. Mother and baby had uneventful course after delivery and were discharged well.
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spelling doaj-art-6da1184c8fe845c9b9de3d272b0836c32025-02-03T01:31:07ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922016-01-01201610.1155/2016/97404039740403Rare Case of Methemoglobinemia Complicating PregnancyS. Verma0P. Sachdeva1G. Gandhi2Maulana Azad Medical College, Delhi 110002, IndiaMaulana Azad Medical College, Delhi 110002, IndiaMaulana Azad Medical College, Delhi 110002, IndiaA patient at 38 weeks of gestation when taken for emergency cesarean section had her oxygen saturation of 66 to 70% (by saturation probe on monitor) in operation theatre. She was otherwise asymptomatic but her oxygen saturation was persistently low on the monitors. Her arterial blood gas analysis showed all parameters to be normal. Her electrocardiography was normal. Her surgery was imperative but due to her reduced oxygen saturation she became a high-risk case. In presence of senior consultants of anesthesia and gynecology and under high-risk consent she had an uneventful cesarean delivery. Physician and cardiologist opinions were sought thereafter. The outcomes and the results of our efforts to find the etiology of her reduced saturation on monitors despite being clinically asymptomatic lead to the disclosure of this rare hemoglobinopathy. Mother and baby had uneventful course after delivery and were discharged well.http://dx.doi.org/10.1155/2016/9740403
spellingShingle S. Verma
P. Sachdeva
G. Gandhi
Rare Case of Methemoglobinemia Complicating Pregnancy
Case Reports in Obstetrics and Gynecology
title Rare Case of Methemoglobinemia Complicating Pregnancy
title_full Rare Case of Methemoglobinemia Complicating Pregnancy
title_fullStr Rare Case of Methemoglobinemia Complicating Pregnancy
title_full_unstemmed Rare Case of Methemoglobinemia Complicating Pregnancy
title_short Rare Case of Methemoglobinemia Complicating Pregnancy
title_sort rare case of methemoglobinemia complicating pregnancy
url http://dx.doi.org/10.1155/2016/9740403
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