Unsolved issues of pregnancy in liver cirrhosis [Нерешенные вопросы ведения беременности при циррозе печени]
Котзев А., Танчев Л., Павлов Ч. С., Танчев С.
Терапевтический архив
Т. 91, Вып. 4, С. 114-117
Опубликовано: 2019
Тип ресурса: Статья
DOI:10.26442/00403660.2019.04.000145
Аннотация:
Pregnancy in patients with liver cirrhosis and portal hypertension occurs very rare, because of their significantly derailed reproductive functions. Òhe risks for the mother and the fetus are connected with worsening of the portal hypertension, progression of decompensated liver cirrhosis and development of its complications: liver failure, ascites, hepatorenal syndrome, hepatic encephalopathy and variceal hemorrhage, and with increased incidence of spontaneous abortions and abnormal uterine bleeding. The decision for continuation of the pregnancy in cirrhotic patients must be based on individual approach and a multidisciplinary team consisting of obstetricians, hepatolo-gists, anesthesiologists, surgeons and hematologists must participate in the therapy. We are presenting a clinical case with 34 years old pregnant woman with Child-Pugh class C cirrhosis and untreated chronic viral hepatitis C. The patient was admitted in emergency with abortus imminens, vaginal bleeding, anemia, throm
Ключевые слова:
Abortion; Hemorrhage; Liver cirrhosis; Pregnancy
adult; case report; chronic hepatitis C; complication; disseminated intravascular clotting; esophagus varices; female; gastrointestinal hemorrhage; hepatic encephalopathy; human; induced abortion; liver cirrhosis; pathophysiology; portal hypertension; pregnancy; pregnancy complication; Abortion, Induced; Adult; Disseminated Intravascular Coagulation; Esophageal and Gastric Varices; Female; Gastrointestinal Hemorrhage; Hepatic Encephalopathy; Hepatitis C, Chronic; Humans; Hypertension, Portal; Liver Cirrhosis; Pregnancy; Pregnancy Complications
Язык текста: Русский
ISSN: 2309-5342
Котзев А.
Танчев Л.
Павлов Ч. С. Чавдар Савов 1967-
Танчев С.
Kotzev A.
Tanchev L.
Pavlov Ch. S. Chavdar Savov 1967-
Tanchev S.
Unsolved issues of pregnancy in liver cirrhosis [Нерешенные вопросы ведения беременности при циррозе печени]
Текст визуальный непосредственный
Терапевтический архив
Медицинское маркетинговое агентство "МедиаМедика"
Т. 91, Вып. 4 С. 114-117
2019
Статья
Abortion Hemorrhage Liver cirrhosis Pregnancy
adult case report chronic hepatitis C complication disseminated intravascular clotting esophagus varices female gastrointestinal hemorrhage hepatic encephalopathy human induced abortion liver cirrhosis pathophysiology portal hypertension pregnancy pregnancy complication Abortion, Induced Adult Disseminated Intravascular Coagulation Esophageal and Gastric Varices Female Gastrointestinal Hemorrhage Hepatic Encephalopathy Hepatitis C, Chronic Humans Hypertension, Portal Liver Cirrhosis Pregnancy Pregnancy Complications
Pregnancy in patients with liver cirrhosis and portal hypertension occurs very rare, because of their significantly derailed reproductive functions. Òhe risks for the mother and the fetus are connected with worsening of the portal hypertension, progression of decompensated liver cirrhosis and development of its complications: liver failure, ascites, hepatorenal syndrome, hepatic encephalopathy and variceal hemorrhage, and with increased incidence of spontaneous abortions and abnormal uterine bleeding. The decision for continuation of the pregnancy in cirrhotic patients must be based on individual approach and a multidisciplinary team consisting of obstetricians, hepatolo-gists, anesthesiologists, surgeons and hematologists must participate in the therapy. We are presenting a clinical case with 34 years old pregnant woman with Child-Pugh class C cirrhosis and untreated chronic viral hepatitis C. The patient was admitted in emergency with abortus imminens, vaginal bleeding, anemia, throm