Sipple syndrome with pregnancy: Anesthetic and obstetrical implications.

Abstract

Obstetrics is the only specialized medical stream, which is associated with numerous risks to two lives at the same time during pre-, intra- and post-partum period. Among various comorbidities, endocrine pathologies complicating pregnancies can be a huge intimidating task for the attending obstetrician and anesthesiologist. Sipple syndrome, a constellation of endocrine diseases, primarily characterized by the presence of medullary carcinoma thyroid, pheochromocytoma and primary hyperparathyroidism, can give nightmares to obstetrician and the attending anesthesiologist.[1] A similar challenging scenario is being published in the current issue of the journal. From the successful management of such a case, it seems a privilege and matter of honor that anesthesiologist played a considerable role in conduct of smooth vaginal delivery in such a complicated case for which no definite protocols or guidelines exists in the clinical literature. The literary evidence for designing and implementing safe anesthetic management of such cases can be derived from only few sporadic case reports which certainly cannot be termed as definite therapeutic options.