An unplanned pregnancy with life-threatening paroxysmal nocturnal hemoglobinuria : a case report

Abstract EN

A 26-year-old Bahraini female with a past medical history significant for diabetes type 2 on metformin and paroxysmal nocturnal hemoglobinuria.

An allogenic stem bone marrow transplantation was done from full match siblings approximately one year ago.

The patient presented to the labor and delivery ward for possible normal vaginal delivery at 39 weeks gestational age.

After hematology review the patient was taken to caesarian section due to failure of progress and the surgery was done successfully under neuraxial anesthesia (epidural top-up).

The case illustrates the effectiveness of neuraxial anesthesia in such patient with such rare disease with possible coagulopathy.