Portosystemic anastomosis during pregnancy

There is discussed the surgical treatment of massive otherwise uncontrolable haemorrhage from oesophageal varices during advanced pregnancy. The authors have performed in the above situation a splenorenal shunt in a women suffering from the prehepatic portal hypertension during her sixth month of pr...

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Bibliographic Details
Published inZentralblatt für Gynäkologie Vol. 98; no. 22; p. 1389
Main Authors Králík, J, Silhan, J, Reil, P, Skácel, J, Havelka, J
Format Journal Article
LanguageGerman
Published Germany 1976
Subjects
Adult
Esophageal and Gastric Varices - surgery
Female
Gastrointestinal Hemorrhage - surgery
Humans
Hypertension, Portal - surgery
Kidney - surgery
Methods
Portal System - surgery
Pregnancy
Pregnancy Complications, Cardiovascular - surgery
Preoperative Care
Spleen - surgery
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Summary:There is discussed the surgical treatment of massive otherwise uncontrolable haemorrhage from oesophageal varices during advanced pregnancy. The authors have performed in the above situation a splenorenal shunt in a women suffering from the prehepatic portal hypertension during her sixth month of pregnancy. The pregnancy was maintained but an unviable child was born. The authors were able to find only 5 quotations from the references available to them dealing with 5 similar cases in women who delivered healthy babies thanks to a surgical intervention (5 times a portal systemic shunt, once a direct operation). The most important prevention of those exceptional surgical indications is the careful evaluation of all circumstances for a pregnancy in women with portal hypertension.
ISSN:0044-4197