Abstract
The occurrence of pregnancy is relatively rare in patients with portal hypertension, and has been reported as clinical cases. However, few studies have evaluated the effectiveness of injecting histoacryl during pregnancy. The choice of treatment for varicose bleeding during pregnancy has been described in the literature based on the elastic ligature. We report the second case, to our knowledge, of treatment of bleeding gastric varices by injection of histoacryl with good maternal and fetal development.
Highlights
The pregnancy occuring during portal hypertension, regardless of its etiology, is relatively rare due to subfertility [1]-[3]
An endoscopy was performed 24 hours after the bleeding period and had objectified stage I of esophageal varices with some red signs associated with two large varices with red signs in cardia, the patient had received an injection of a chemical glue 1cc at the gastric varices without maternal neither fetal incident
An upper endoscopy showed a varicose vein in the cardia, which was treated by histoacryl of injection (Figures 1 and 2)
Summary
The pregnancy occuring during portal hypertension, regardless of its etiology, is relatively rare due to subfertility [1]-[3]. Serious complications can occur both in the fetal and maternal level, mainly related to upper gastrointestinal bleeding caused by ruptured esophageal varices and/or gastric varices preexisting. The management of these patients should be multidisciplinary because of maternal-fetal risk. Hemostatic treatment of oesophageal varices during pregnancy is mainly based on endoscopic ligation [4] [5]. The injection of fibrin glue endoscopically during pregnancy has been rarely reported. (2014) Endoscopic Hemostatic Treatment of Gastric Varices during Pregnancy by Injection of Histoacryl.
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