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Controversies in the delivery suite: obstetrical anesthesia for the parturient with cavernous transformation of the portal vein

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Abstract

Introduction

Cavernous transformation of the portal vein (CTPV) is a rare disorder resulting from extrahepatic portal vein thrombosis and development of collateral venous circulation.

Case report

I herein present the first reported case of a pregnant patient with CTPV associated with persistent consumptive coagulopathy and chronic thrombocytopenia.

Outcome

Single-dose spinal anesthesia was safely conducted for an uneventful cesarean delivery.

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References

  1. Eidelman A (1967) Cavernous transformation of the portal vein. Gastroenterologia 108:283–290

    CAS  PubMed  Google Scholar 

  2. Bayraktar Y, Tuncer ZS, Kabukcu A, Uzunalimoglu B, Ayhan A (1997) Pregnancy complicated by congenital hepatic fibrosis with cavernous transformation of the portal vein: a case report. Am J Obstet Gynecol 177:459–461

    CAS  PubMed  Google Scholar 

  3. Rodgers RPC, Levin J (1990) A critical reappraisal of the bleeding time. Semin Thromb Hemost 16:1–20

    Google Scholar 

  4. Douglas MJ (2001) Platelets, the parturient and regional anesthesia. Int J Obstet Anesth 10:113–120

    Article  Google Scholar 

  5. Beilin Y, Bodian CA, Haddad EM, Leibowitz AB (1996) Practice patterns of anesthesiologists regarding situations in obstetric anesthesia where clinical management is controversial. Anesth Analg 83:735–741

    Article  CAS  PubMed  Google Scholar 

  6. Bromage PR (1993) Neurologic complications of regional anesthesia for obstetrics. In: Shnider SM, Levinson G (eds) Anesthesia for obstetrics. Williams and Wilkins, Baltimore, pp 443–444

    Google Scholar 

  7. Lechner RB (1994) Hematologic and coagulation disorders. In: Chestnut DH (ed) Obstetric Anesthesia: principles and practice. Mosby, St. Louis, pp 827–828

    Google Scholar 

  8. Rocke DA, Rout CC, Orlikowski CEP (1993) anesthesia and coexisting maternal disease. In: Norris MC (ed) Obstetric anesthesia. Lippincott, Philadelphia, pp 460–461

    Google Scholar 

  9. Beilin Y, Zahan J, Comerford M (1997) Safe epidural analgesia in thirty parturients with platelet count between 69,000 and 98,000/mm3. Anesth Analg 85:385–388

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Departments of Anesthesiology and Reproductive Medicine, University of California San Diego, San Diego , CA, USA 

    Krzysztof M. Kuczkowski

  2. Department of Anesthesiology,  UCSD Medical Center, 200 West Arbor Drive, San Diego, CA, 92103-8770, USA

    Krzysztof M. Kuczkowski

Authors
  1. Krzysztof M. Kuczkowski
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Correspondence to Krzysztof M. Kuczkowski.

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Kuczkowski, K.M. Controversies in the delivery suite: obstetrical anesthesia for the parturient with cavernous transformation of the portal vein. Arch Gynecol Obstet 272, 179–181 (2005). https://doi.org/10.1007/s00404-004-0700-4

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  • DOI: https://doi.org/10.1007/s00404-004-0700-4

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