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  • Title: Transjugular intrahepatic portosystemic shunt: a case report of rescue management of unrestrainable variceal bleeding in a pregnant woman.
    Author: Lodato F, Cappelli A, Montagnani M, Colecchia A, Festi D, Azzaroli F, Compagnone G, Cecinato P, Golfieri R, Mazzella G.
    Journal: Dig Liver Dis; 2008 May; 40(5):387-90. PubMed ID: 17420158.
    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.
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