Fatal disruption of a splenorenal shunt after multiple pregnancies.
A 39-year-old woman underwent a distal splenorenal shunt operation for bleeding esophageal varices due to liver cirrhosis. Following the operation she had 7 pregnancies at almost yearly intervals. At the term of the last pregnancy a disruption of the anastomotic site caused a fatal hemorrhage. The outcome of postshunt pregnancies as reviewed in the literature is usually favorable, but numerous pregnancies in these circumstances may carry a considerable risk.
Walden
R
R
Lubinski Vascular Institute, Department of General and Vascular Surgery, Sheba Medical Center, Tel Hashomer, Israel.
Ben-Rafael
Z
Z
D000328:Adult; D002910:Chronology as Topic; D005260:Female; D006801:Humans; D008428:Maternal Mortality; D011247:Pregnancy; D011248:Pregnancy Complications; D012307:Risk Factors; D012421:Rupture; D013164:Splenorenal Shunt, Surgical / Q000009:adverse effects*