Lin XN, Chan WS, Lu CW. Airway management strategies in a pediatric patient with MURCS association: A case report. World J Clin Cases 2025; 13(28): 106852 [DOI: 10.12998/wjcc.v13.i28.106852]
Corresponding Author of This Article
Cheng-Wei Lu, MD, PhD, Department of Anesthesiology, Far Eastern Memorial Hospital, Ban-Chiao, New Taipei City 220, Taiwan. drluchengwei@gmail.com
Research Domain of This Article
Anesthesiology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Airway management strategies in a pediatric patient with MURCS association: A case report
Xu-Nian Lin, Wing-Sum Chan, Cheng-Wei Lu
Xu-Nian Lin, Wing-Sum Chan, Cheng-Wei Lu, Department of Anesthesiology, Far Eastern Memorial Hospital, New Taipei City 220, Taiwan
Cheng-Wei Lu, Department of Mechanical Engineering, Yuan Ze University, Taoyuan 32003, Taiwan
Author contributions: Lin XN and Chan WS contributed to manuscript writing and editing, and data collection; Chan WS performed the general anesthesia; Lu CW contributed to conceptualization and supervision; All authors have read and approved the final manuscript.
Supported by Far-Eastern Memorial Hospital, No. FEMH-2025-C-016.
Informed consent statement: Informed written consent was obtained from the patient for the publication of this report and the accompanying images. This case report complied with the ethical standards outlined in the CARE (Case Report) guidelines.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Cheng-Wei Lu, MD, PhD, Department of Anesthesiology, Far Eastern Memorial Hospital, Ban-Chiao, New Taipei City 220, Taiwan. drluchengwei@gmail.com
Received: March 9, 2025 Revised: April 20, 2025 Accepted: July 3, 2025 Published online: October 6, 2025 Processing time: 151 Days and 16.2 Hours
Abstract
BACKGROUND
MURCS association, an acronym for Müllerian duct aplasia/hypoplasia, congenital renal agenesis/ectopia, and cervical somite dysplasia, presents unique anaesthetic challenges, particularly for airway control due to cervical spine anomalies. This case report adds to the limited literature by detailing airway management strategies in a paediatric patient with MURCS, emphasising the need for thorough preoperative evaluation and curated planning.
CASE SUMMARY
This report describes the successful anaesthetic and airway management of a 6-year-old girl with MURCS undergoing dental extraction. To address the complexities of the patient’s condition, a multidisciplinary approach involving comprehensive preoperative assessment, meticulous planning, and advanced airway management techniques was adopted.
CONCLUSION
This report emphasizes individualized anesthetic strategies and interprofessional collaboration for managing rare congenital syndromes.
Core Tip: MURCS association, characterized by Müllerian duct aplasia, renal anomalies, and cervical spine dysplasia, poses significant airway management challenges due to spinal malformations. This report details the successful anesthetic management of a 6-year-old girl undergoing dental extraction. A multidisciplinary approach, including comprehensive preoperative assessment, meticulous planning, and advanced airway techniques, ensured procedural safety. The case highlights the importance of individualized anesthetic strategies and interprofessional collaboration to address airway complexities and other challenges in rare congenital syndromes, emphasizing the critical role of tailored management in achieving safe and successful outcomes.
