title: Successful outcome of gestation in a young woman with severe oesophageal varices throughout the pregnancy.
abstract: During normal pregnancy there is an increase in the maternal blood volume leading to portal hypertension with some changes in liver functions. However, in an apparently healthy woman without known liver cirrhosis or other advanced liver disease, severe oesophageal varices with along with repeated variceal bleeding during pregnancy is rare. In this paper we described a case of severe oesophageal variceal bleeding in a young woman without having any pre-existing liver pathology. Due to repeated pregnancy with short intervel bleeding the patient developed severe anaemia. Packed cell transfusion was done repeatedly and oesophageal variceal ligation (EVL) was done three times. In spite of these measures variceal bleeding continued and patient's condition was deteriorating progressively; so caesarean section was at 33rd week of gestation and a preterm but healthy baby was delivered. The puerperium was uneventful with no haematemesis and there was gradual improvement of the condition. A brief review of the literature on pregnancy with oesophageal varices is also presented.
authors.affiliation: Department of Obstetrics and Gynaecology, Bangabandhu Sheikh Mujib Medical University, Shahbagh, Dhaka, Bangladesh.
authors.forename: S
authors.initials: S
authors.lastname: Shamim
authors.forename: B
authors.initials: B
authors.lastname: Nasrin
authors.forename: S B
authors.initials: SB
authors.lastname: Chowdhury
mesh_terms: D004932:Esophageal and Gastric Varices / Q000601:surgery; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000601:surgery; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology; D008026:Ligation; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery; D011256:Pregnancy Outcome; D012086:Reoperation; D055815:Young Adult