Article Text
Summary
This case report is of a 32-year-old woman of African descent on follow-up for pregnancy in the background of portal hypertension due to liver cirrhosis. She had initially been treated for chronic hepatitis B infection with lamivudine and tenofovir, complicated by portal hypertension and variceal bleeding that thrice required banding. Her pregnancy was uneventful until 31 weeks gestation when she presented with dyspnoea. On examination and investigation, she had oedema, bilateral pleural effusions and ascites. Multidisciplinary discussions involving surgery, anaesthesia, obstetrics, neonatology and medicine were held. A consensus outpatient and inpatient management plan was implemented. At 36 weeks, following non-reassuring fetal cardiotocography, she underwent induction of labour. An assisted vacuum delivery was conducted in a controlled setting. She gave birth to a live female infant who had an APGAR score of 9 at 5 min. Both she and the baby had an uneventful postpartum period.
- pregnancy
- portal hypertension
- cirrhosis
Statistics from Altmetric.com
Footnotes
Contributors FJL-M: contributed to the conception of the case report, collected and analysed the data, drafted the case report, gave final approval for the version to be published and agrees to be accountable for all aspects of the work. CMM: contributed to the conception of the case report, critically revised for important intellectual content and gave final approval for the version to be published. He also agrees to be accountable for all aspects of the work.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.