A pregnant woman associated with esophageal variceal rupture received endoscopic variceal ligation and caesarean section at successfully

Abstract

A 34-years-old woman, who had received Kasai operation due to congenital bile duct atresia at the age of 0, was pointed out esophageal varices and liver cirrhosis at one year and a half before pregnancy. At 25 weeks pregnancy, the esophageal varices was ruptured and she received endoscopic variceal ligation after emergent admission. Although the variceal bleeding was well controlled, the fetus grew up slowly and its growth arrest was recognized by ultrasound examination at 29 weeks pregnancy. Caesarean section was performed and a boy of 842g was delivered. Genital bleeding, however, continued postoperatively because of poor uterine contraction, and a large amount of blood transfusion was necessary. Both of uterine arterial embolization was performed by interventional radiology and she was discharged on the postoperative 15th day. The newborn grew up and was also discharged on the 92nd day of his birth.