A Complex Clinical Scenario: Perioperative Management of Osteogenesis Imperfecta in Gynaecological Surgery

Osteogenesis imperfecta (OI) presents significant challenges in perioperative management due to fragile bones, airway difficulties, and the potential for other systemic complications. We report a case of a 45-year-old female with OI undergoing a total abdominal hysterectomy. Perioperative complications included difficult positioning, airway management challenges, opioid sensitivity, and postoperative nausea and vomiting (PONV). The patient required critical care admission for postoperative care due to aspiration and oxygen dependency. This case highlights the need for meticulous preoperative planning and a multidisciplinary approach in managing OI patients undergoing major surgery.