Budd–Chiari syndrome during puerperium requiring liver transplantation

Anbazhagan, A; Harper, A; Hunter, A M; Benson, Gary; Cadden, Ian; Cash, Johnny; McDougall, NI

doi:10.3109/01443615.2013.810200

Cited by 3 publications

(1 citation statement)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…22 Most BCS cases occurred in patients with other risk factors for thrombosis than pregnancy. [23][24][25][26][27][28][29] In particular, women with protein S deficiency seem at higher risk for BCS during pregnancy. 22 This may be due to the previously described decrease in functional levels of this protein during pregnancy.…”

Section: Is Pregnancy a Risk Factor For Budd-chiari Syndrome?mentioning

confidence: 99%

Pregnancy and Vascular Liver Disease

Bissonnette

Durand

Raucourt

et al. 2015

Journal of Clinical and Experimental Hepatology

View full text Add to dashboard Cite

Vascular disorders of the liver frequently affect women of childbearing age. Pregnancy and the postpartum are prothrombotic states. Pregnancy seems to be a trigger for Budd-Chiari syndrome in patients with an underlying prothrombotic disorder. Whether pregnancy is a risk factor for other vascular liver disorders is unknown. In women with a known vascular liver disorder and a desire for pregnancy, stabilisation of the liver disease, including the use of a portal decompressive procedure when indicated, should be reached prior to conception. The presence of esophageal varices should be screened and adequate prophylaxis of bleeding applied in a manner similar to what is recommended for patients with cirrhosis. Most women likely benefit from anticoagulation during pregnancy and the postpartum. Labor and delivery are best managed by a multidisciplinary team with experience in this situation. Assisted vaginal delivery is the preferred mode of delivery. Although the risk of miscarriage and premature birth is heightened, current management of these diseases makes it very likely to see the birth of a live baby when pregnancy reaches 20 weeks of gestation.

show abstract