Anaesthetic Challenges in a Rare Syndrome: Perioperative Management of a Patient with POEMS Syndrome Who Underwent Umbilical Hernioplasty [Turk J Anaesthesiol Reanim]
Turk J Anaesthesiol Reanim. Ahead of Print: TARD-53824 | DOI: 10.5152/TJAR.2019.53824  

Anaesthetic Challenges in a Rare Syndrome: Perioperative Management of a Patient with POEMS Syndrome Who Underwent Umbilical Hernioplasty

Sajil Sajan1, Neeraja Ajayan2, Gayatri Nair3, Karen Ruby Lionel4, Ajay Prasad Hrishi2
1Kaduvayil Thangal Charitable Trust Hospital, Kerala, India
2Sree Chitra Tirunal Institute For Medical Sciences, Kerala, India
3Albert Einstein College of Medicine, New York, USA
4Christian Medical College, Vellore, India

Polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes (POEMS) syndrome also known as ‘Crow Fukase syndrome’ is a rare paraneoplastic disorder, first described by Crow and Fukase with distinctive features of polyradiculoneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy and skin changes. There is a paucity of literature about anaesthetic management of patients with POEMS syndrome with isolated case reports of surgery under general anaesthesia and central neuraxial blockade. We present here the anaesthetic management of a patient with POEMS syndrome posted for umbilical hernia repair, which was successfully managed with a transverse abdominis plane (TAP) block.

Keywords: POEMS, TAP block, umbilical hernia




Corresponding Author: Ajay Prasad Hrishi, India


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