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Journal of Obstrectic Anaesthesia and Critical Care
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Year : 2013  |  Volume : 3  |  Issue : 2  |  Page : 108-110

Transient osteoporosis of pregnancy: A case report and review of anesthetic implications

1 Department of Obstetrics Anesthesia and Critical Care, Third year resident of Anesthesiology. Hospital Universitario La Paz. Madrid, Spain
2 Department of Obstetrics Anesthesia and Critical Care. Hospital Universitario La Paz. Madrid, Spain
3 Section Chief of Anesthesiology and Critical Care. Hospital Universitario La Paz. Madrid, Spain
4 Profesor, Chief, Department of Anesthesiology, Hospital Universitario La Paz. Madrid, Spain

Correspondence Address:
Victor Eduardo Anillo Lombana
Santuario de Valverde. Numero 18. Portal E. Piso 1. Puerta A, 28049 Madrid
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2249-4472.123311

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Transient osteoporosis of pregnancy (TOP) is a rare and self-limited disease with an unknown etiology. A 29-year-old woman complained at her 39 th week of pregnancy of focalized pain in the right hip with functional disability and instability. Pain increased during the early puerperium after removal of the epidural catheter. The X-ray and magnetic resonance imaging (MRI) showed a displaced intracapsular fracture in the right femur, which needed surgical correction. The patient underwent urgent orthopedic surgery. We reviewed the anesthetic implications of this rare disease, particularly the use of a regional technique that removes the restrictive effect of the hip pain, and therefore increases the risk of a fracture.

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