Pregnancy with extrahepatic portal venous hypertension
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20211545Keywords:
EHPVH, HPVG. PregnancyAbstract
We are reporting a case of pregnancy with extrahepatic portal venous hypertension. Portal hypertension in pregnancy is an uncommon event. It presents a challenge to the obstetrician in management as physiological hemodynamic changes associated with pregnancy worsen with portal hypertension. Thus, increasing risk of life threatening complications like variceal haemorrhage and hepatic decompensation to many folds during pregnancy. Management requires knowledge of effects of portal hypertension on maternal and fetal outcome and vice-versa.
Metrics
References
Peitsidou A, Peitsidis P, Michopoulos S, Matsouka C, Kioses E. Exacerbation of liver cirrhosis in pregnancy: a complex emerging clinical situation. Arch Gynecol Obstet. 2009;279(6):911-3.
Sarin SK, Sollano JD, Chawla YK, Deepak Amarapurkar, Saeed Hamid, Hashizume M, et al. Consensus on extra-hepatic portal vein obstruction. Liver Int. 2006;26(5):512-9.
Van Dyke RW. The liver in pregnancy. In: Zakin D, Boyer TD, eds. Hepatology: a text book of liver disease. 3rd ed. Philadelphia: WB Sauders; 1996: 1734-59.
Cheng YS. Pregnancy in liver cirrhosis and/or portal hypertension. Ame J Obstetr Gynecol. 1977;128(7): 812-22.
Üstüner I, Akdoğan RA, Güven ESG, Sahin FK, Sentürk S, Adogan E, et al. Pregnancy in the setting of asymptomatic non-cirrhotic chronic portal vein thrombosis complicated by pre-eclampsia. Case Rep Obstet Gynecol. 2013;2013:984271.
Misra S, Sanyal AJ. Pregnancy in a patient with portal hypertension. Clin Liver Dis. 1999;3:147-62.
Hoekstra J, Seijo S, Rautou PE, G Ducarme, Boudaoud L, Luton D, et al. Pregnancy in women with portal vein thrombosis: results of a multicentric European study on maternal and fetal management and outcome. J Hepatol. 2012;57(6):1214-9.
Rajekar H, Vasishta RK, Chawla YK, Dhiman RK. Non-cirrhotic portal fibrosis: current concepts and management. J Gastroenterol Hepatol. 2002;17(5):526-34.
Varma RR, Bokowf HI, Lewis JD. Pregnancy in cirrhotic and non-cirrhotic portal hypertension. Obstetr Gynaecol. 1977;50(2):217-22.
Mahadevan U, Kane S. American gastroenterological association institute technical review on the use of gastrointestinal medications in pregnancy. Gastroenterology. 2006;131(1):283-311.
Varma RR, Michelson NH, Borkowf HI, Lewis JD. Pregnancy in cirrhotic and non-cirrhotic portal hypertension. Obstetr Gynecol. 1977;50(2):217-22.
Downloads
Published
How to Cite
Issue
Section
