Controversies in the delivery suite: obstetrical anesthesia for the parturient with cavernous transformation of the portal vein.
BACKGROUND
Cavernous transformation of the portal vein (CTPV) is a rare disorder resulting from extrahepatic portal vein thrombosis and development of collateral venous circulation.


METHODS
I herein present the first reported case of a pregnant patient with CTPV associated with persistent consumptive coagulopathy and chronic thrombocytopenia.


RESULTS
Single-dose spinal anesthesia was safely conducted for an uneventful cesarean delivery.
Kuczkowski
Krzysztof M
KM
Departments of Anesthesiology and Reproductive Medicine, University of California San Diego, San Diego, CA, USA. kkuczkowski@ucsd.edu
D000328:Adult; D000773:Anesthesia, Obstetrical / Q000379:methods*; D002585:Cesarean Section; D003097:Collateral Circulation / Q000502:physiology*; D005260:Female; D006801:Humans; D011169:Portal Vein / Q000473:pathology*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000473:pathology* / Q000601:surgery; D020246:Venous Thrombosis / Q000473:pathology*