Case Report
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 6, 2025; 13(28): 106852
Published online Oct 6, 2025. doi: 10.12998/wjcc.v13.i28.106852
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
Core Tip

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.