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- Title
Portal hypertension in pregnancy – Concealed perils.
- Authors
Morton, Adam; Laurie, Josephine; Hill, Jessica
- Abstract
Pregnancy in women with portal hypertension is high risk due to the danger of variceal haemorrhage, which complicates 15–34% of cases. Variceal bleeding in pregnancy to women with non-cirrhotic portal hypertension is associated with increased risk of abortion (29%) and perinatal death (33%). Pregnancy in women with cirrhosis while less common due to hypogonadism, is associated with additional potential complications of hepatic decompensation and encephalopathy (10%), hepatorenal syndrome, ascites and bacterial peritonitis. Pregnancy in women with cirrhotic portal hypertension is associated with maternal death in 1.6%, and fetal loss in 10–66%. We present a case of non-cirrhotic portal hypertension in pregnancy, discussing two other potential critical complications of portal hypertension in pregnancy, splenic artery aneurysm (SAA) and pulmonary hypertension.
- Subjects
RISK factors in miscarriages; PERINATAL death; ANEURYSMS; BLOOD vessels; COMPUTED tomography; HEMORRHAGE; PORTAL hypertension; PULMONARY hypertension; SPLENIC artery; DISEASE complications; PREGNANCY
- Publication
Obstetric Medicine (1753-495X), 2020, Vol 13, Issue 3, p142
- ISSN
1753-495X
- Publication type
Article
- DOI
10.1177/1753495X18801464