Re: OB pregnancy in portal hypertension
From: art fougner, md (evsono@pipeline.com)
Mon May 4 12:37:01 1998
Fortunately, these cases are few and far between. We had such a patient
while I was Chief Resident at Bellevue in 1979. After reviewing the
literature at that time, we concluded that the risk of maternal
mortality with portal hypertension with varices was 20% - worse odds
than with Russian roulette. The woman terminated that pregnancy.
Hope this helps and do let us know what happens.
Art
At Mon, 4 May 1998, DoctorJoe wrote:
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>To the List:
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>I'm forwarding this request from someone in Italy. Anyone out there with
>experience or knowledge in this area?
>
>Joe P.
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>Date: Mon, 04 May 1998 09:33:05 -0700
>From: rjewett <rjewett@InfoAve.Net>
>Subject: pregnancy in portal hypertension
>To: DoctorJoe@aol.com
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>I am an italian surgeon and would like to know how to manage a case of
>portal hypertension in pregnancy.This patient is 30years old; she is at
>her first pregnancy. At age 8 she had a spleno-renal anasthomosis for
>congenital problems. Then she had a trombosis of the anastomosis and now
>she has portal hypertension with esophageal varices. She is 8 weeks
>pregnant. Some advices would be very much appreciated.
>Thank you
>
>Marina Pisani
>
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art fougner, md
SonoScan/Genetic Sciences
forest hills, ny
evsono@pipeline.com
