title: Transjugular intrahepatic portosystemic shunt: a case report of rescue management of unrestrainable variceal bleeding in a pregnant woman.
abstract: Liver cirrhosis complications in pregnant women are frequent and death rate secondary to variceal bleeding is relevant. Both sclerotherapy and banding ligation seem to be safe procedures in pregnancy; when bleeding is not arrested endoscopically an emergency transjugular intrahepatic portosystemic shunt should be considered, but data regarding pregnant cirrhotic women are scarce. We describe the case of a pregnant woman at 14 weeks of gestation who underwent management of acute variceal bleeding by transjugular intrahepatic portosystemic shunt. Transjugular intrahepatic portosystemic shunt may represent a rescue treatment for failed attempts of band ligation or sclerotherapy.
authors.affiliation: Department of Digestive Diseases and Internal Medicine, S. Orsola-Malpighi Hospital, University of Bologna, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Lodato
authors.forename: A
authors.initials: A
authors.lastname: Cappelli
authors.forename: M
authors.initials: M
authors.lastname: Montagnani
authors.forename: A
authors.initials: A
authors.lastname: Colecchia
authors.forename: D
authors.initials: D
authors.lastname: Festi
authors.forename: F
authors.initials: F
authors.lastname: Azzaroli
authors.forename: G
authors.initials: G
authors.lastname: Compagnone
authors.forename: P
authors.initials: P
authors.lastname: Cecinato
authors.forename: R
authors.initials: R
authors.lastname: Golfieri
authors.forename: G
authors.initials: G
authors.lastname: Mazzella
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D016099:Endoscopy, Gastrointestinal; D004932:Esophageal and Gastric Varices / Q000150:complications*; D005260:Female; D005500:Follow-Up Studies; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000379:methods*; D011247:Pregnancy; D011248:Pregnancy Complications; D018608:Ultrasonography, Doppler