Anesthetic Experience of Cesarean Section in Evans Syndrome

ABSTRACT

Evans syndrome is an uncommon condition defined by the combination of immune thrombocytopenia and autoimmune hemolytic anemia in the absence of known underlying cause. Association of Evans syndrome with pregnancy is very rare, and only a few cases have been published in the medical literature. We experienced a case of Evans syndrome in pregnancy. Cesarean section was performed under general anesthesia without hemorrhagic complications at the 37th week of pregnancy following treatment with steroid, intravenous immunoglobulin, and transfusion of platelet concentrates. We have also briefly discussed the pathophysiology, the possible treatment options during pregnancy and prenatal outcome of Evans syndrome.