| Acute Budd-Chiari syndrome during pregnancy: surgical treatment and orthotopic liver transplantation with successful completion of the pregnancy. | |
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MedLine Citation:
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PMID: 12942460 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 26-year-old woman presented with acute Budd-Chiari syndrome 18 weeks into a pregnancy. She was found to be heterozygous for the G20210A prothrombin gene mutation. She was treated with portacaval shunt placement and successfully completed the pregnancy, with a healthy baby delivered at 31 weeks' gestation. She developed progressive liver failure after delivery of the child, likely associated with clotting of the shunt, which occurred in the face of full anticoagulation. The patient subsequently underwent a technically complicated orthotopic liver transplantation, but died 10 months after transplantation. This case illustrates the challenges involved in the treatment of Budd-Chiari syndrome, in addition to difficulties balancing the health of a mother and an unborn child. It is the only case of surgical treatment of Budd-Chiari syndrome during pregnancy reported in the literature. |
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Authors:
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Wendy J Grant; Timothy McCashland; Jean F Botha; Byers W Shaw; Debra L Sudan; Alejandro Mejia; Kishore Iyer; Alan N Langnas |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society Volume: 9 ISSN: 1527-6465 ISO Abbreviation: Liver Transpl. Publication Date: 2003 Sep |
Date Detail:
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Created Date: 2003-08-27 Completed Date: 2004-01-05 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 100909185 Medline TA: Liver Transpl Country: United States |
Other Details:
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Languages: eng Pagination: 976-9 Citation Subset: IM |
Affiliation:
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Organ Transplantation Program, University of Nebraska Medical Center, Omaha, NE 68198, USA. wgrant@surgery.unmc.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adult Budd-Chiari Syndrome / surgery* Female Humans Infant, Newborn Liver Transplantation* Pregnancy Pregnancy Complications* Pregnancy Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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