Volume 6, Issue 4 (2021)                   SJMR 2021, 6(4): 231-235 | Back to browse issues page

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Giti S. A case report of a successful pregnancy with Budd-Chiari Syndrome. SJMR 2021; 6 (4) :231-235
URL: http://saremjrm.com/article-1-242-en.html
Sarem Fertility and Infertility Research Center (SAFIR), Sarem Women’s Hospital, Iran University of Medical Science (IUMS), Tehran, Iran. ORCID ID: 0000-0002-7706-4083. , Dr.giti@sarem.org
Abstract:   (176 Views)
Introduction: Budd-Chiari syndrome (BCS) is an uncommon illness that is characterized by obstruction of hepatic venous outflow. Patients typically present with nausea, vomiting, and abdominal pain, which can further progress into signs associated with liver failure, including jaundice, encephalopathy, and coagulation disorders. The most common causes of BCS include pathologies that induce portal vein thrombosis, such as myeloproliferative disorders, malignancy, and acquired hypercoagulable states.
Case introduction: A 45-year-old woman with primary infertility was referred to Sarem Hospital for two years. The cause of PCOS was diagnosed and finally, she got pregnant after taking metformin. A few years ago, following the feeling of malaise, weakness, and skin itching, he took a Gamma Glutamyl Transferase (Gamma GT) blood test and a liver function test (LFT) and was diagnosed with BCS following ulcerative colitis by a gastroenterologist. During pregnancy, she was treated due to increased resistance of uterine arteries. Finally, due to the onset of labor pains, she underwent a cesarean section and a healthy girl was born.
Conclusion: Management of pregnancy with Budd-Chiari syndrome is a major challenge. Therefore, careful monitoring, appropriate anticoagulation, and monitoring of fetal growth and liver status with an experienced and expert team can lead to successful results.
Article number: 5
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Article Type: Case Report | Subject: Women Diseases
Received: 2022/01/7 | Accepted: 2022/01/25 | Published: 2022/11/22

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