Successful management of pregnancy in non-cirrhotic portal hypertension: a case report

Yıl 2015, Cilt: 46 Sayı: 3, 113 - 115, 22.06.2015

Yusuf Çakmak , Mehmet Şentürk , Ertuğrul Yılmaz , Mustafa Eroğlu , Özgür Tosun

Öz

Introduction: The co-existence of pregnancy and liver disease is considered to be a rare and complex clinical situation. Besides pregnancy has specific complications even in a healthy liver, the previous liver damage associated to portal hypertension develops additional risks as a result of marked hemodynamic disturbances.

Case: We report the management of a pregnancy of a 22-year-old patient without additional complications beside NCPH and a history of prophylactic endoscopic ligation of esophageal varices. The pregnancy continued until term and cesarean section was performed successfully.

Conclusion: In non-cirrhotic portal hypertension (NCPH) the liver function is usually preserved, and the increased risk of bleeding from esophageal varices in pregnancy is open to debate.

Anahtar Kelimeler

Liver disease, Pregnancy, Portal Hypertension

Non-sirotik portal hipertansiyonda gebeliğin başarılı yönetimi: olgu sunumu

Öz

Giriş: Gebelik ve karaciğer hastalığı nadir ve karmaşık bir durum olarak ele alınır. Sağlıklı bir karaciğerde bile gebeliğe özgü komplikasyonların yanı sıra, önceki portal hipertansiyonuna bağlı karaciğer hasarı varlığı belirgin hemodinamik sorunlara yol açan ilave riskler geliştirir.

Olgu: 22 yaşında non-sirotik portal hipertansiyonlu profilaktik endoskopik varis ligasyonu yapılmış bir hastanın ek komplikasyon olmayan gebeliği sunulmuştur. Gebelik terme kadar sorunsuz izlenmiş ve başarılı bir sezaryen gerçekleştirilmiştir.

Sonuç: Non-sirotik portal hipertansiyonda karaciğer fonksiyonları genellikle korunur ve gebeliğe bağlı özofagus varis kanaması riskindeki artış tartışmaya açıktır. 

Anahtar Kelimeler

Karaciğer Hastalıkları, Gebelik, Portal Hipertansiyon

Kaynakça

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