Anesthetic Considerations for Cesarean Section in a Woman With Systemic Mastocytosis

Mastocystosis is a multisystem disorder characterized by mast cell deposition throughout internal organs. It can present in a similar fashion to anaphylaxis, with widespread mast cell degranulation triggered by a range of drugs, sleep deprivation, foods, and physical or emotional stress, such as pain or infection. We present a case of a woman in her 20s with her second pregnancy with suspected mastocytosis who required an elective cesarean section, and consider the implications of anesthetic management. A "recipe" with rationale has been devised to aid others who may come across a similar case in both the elective and emergency settings.