Resumo

CRUZ-PEREZ, Armando  e  CEBREROS-VERDIN, María Fernanda. Pregnancy in a patient with hereditary spherocytosis: Case report and literature review. Rev. sanid. mil. [online]. 2021, vol.75, n.2, e02.  Epub 29-Set-2023. ISSN 0301-696X.  https://doi.org/10.56443/rsm.v75i2.218.

We present the case of a 27 years old pregnant patient with hereditary spherocytosis with a 36 weeks gestation pregnancy who comes to the clinic for prenatal care, admitted for fetal tachycardia, and acute hereditary spherocytosis exacerbation. During hospitalization, she underwent an emergency cesarean section for a non-reassuring fetal state. With favorable results during hospitalization in addition to an immediate surgical postpartum the patients discharge, and control were decided in the outpatient clinic. Hereditary spherocytosis is the most frequent hemolytic anemia in the world, with an incidence of 1/2000 caucasians and found in 1% of blood donors. Which response to an autosomal dominant pattern in 75% of cases, including a variable clinical expression. The present case is accompanied by a review of the literature.

Pregnancy in patients with hereditary spherocytosis can be carried to term, optimizing with close obstetric control and at the third level of medical care. There is not much literature covering both conditions and there are few reported cases.

Palavras-chave : Pregnancy; hereditary spherocytosis; hemolytic anemia.