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Anesthetic management in a case of MURCS syndrome


1 Department of Anesthesiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
2 Department of Emergency Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
3 Department of Neurosurgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
4 Department of General Medicine, S P S Apollo Hospital, Ludhiana, Punjab, India

Correspondence Address:
Poonam Arora,
Department of Emergency Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/aer.aer_137_21

MURCS syndrome is a more severe form of Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome, an acronym meaning aplasia/hypoplasia of Müllerian ducts (MU), congenital renal agenesis/ectopia (R), and cervical somite dysplasia (CS). A common presentation is primary amenorrhea in adolescent females. An anesthetist must consider the benefits and limitations of both regional and general anesthesia for these patients based on site of surgery and severity of malformations. We report successful anesthetic management of a 21-year-old female with MURCS syndrome scheduled for a creation of neovagina under spinal anesthesia using ultrasound guidance.


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