Non-cirrhotic portal hypertension in pregnancy due to schistosomiasis: A case series.

Obstet Med

Department of Internal Medicine, University of the Witwatersrand, Johannesburg and Obstetric Internal Medicine Unit, Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa.

Published: April 2024

AI Article Synopsis

  • The article examines the risks associated with non-cirrhotic portal hypertension during pregnancy, highlighting potentially severe complications like bleeding and infections.
  • The physiological changes of pregnancy can exacerbate existing portal hypertension, complicating the health of both the mother and fetus.
  • The authors present four case studies from a low to middle-income context and explore existing research on managing this condition in pregnant women.

Article Abstract

The presence of non-cirrhotic portal hypertension in pregnancy poses a challenging clinical scenario as it predisposes women to several life-threatening complications such as variceal haemorrhage, splenic artery aneurysm, pulmonary hypertension and bacterial peritonitis. The haemodynamic changes in pregnancy along with the demands of a growing fetus may worsen the severity of pre-existing non-cirrhotic portal hypertension. In this case series, we discuss four cases of non-cirrhotic portal hypertension in pregnancy in a low to middle income setting and review the literature related to this condition.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11563534PMC
http://dx.doi.org/10.1177/1753495X241241833DOI Listing

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