Abstract
A case of bleeding esophageal varices in the pregnant successfully treated with ndoscopic Infection Scierotherapy (EIS) was reported. A 37-year-old woman with alcoholism was admitted to our hospital complaining of massive hematem esis on December 23, 1988. On admission, she was in the 28th week of pregnancy. Emergency endoscopy revealed rapture of esophageal varices. EIS with 2% TSS (Tetradecyl sulfate of sodium) was performed safely and complete hemostasis was obtained. MRI showed the atrophic liver, splenomegaly, and the pregnant uterus compressing the inferior vena cava. Cesarean section was done in the 34th week of pregnancy because the pati ent was an elderly primipara. The newborn baby was completely healthy. The patient and her baby have been in good health up to now. In the Japanese literature, only 2 cases of bleeding esophageal varlces in pregnancy have been reported since 1970, and the patients and babies resulted in death in both cases. We conclude EIS is a safe and useful therapy for bleedingesophageal varlces even in the pregnant.
