Epidural Analgesia in a Parturient following Splenorenal Shunt Operation for Liver Cirrhosis.

Son,  Soo Chang; Kim,  Young Joo; Kim,  Hae Ja; Choi,  Se Jin; Rhee,  Youne Ee

doi:1994.27.5.499

Case Report

Korean Journal of Anesthesiology 1994;27(5):499-502.
DOI: https://doi.org/10.4097/kjae.1994.27.5.499

Epidural Analgesia in a Parturient following Splenorenal Shunt Operation for Liver Cirrhosis.

Soo Chang Son, Young Joo Kim, Hae Ja Kim, Se Jin Choi, Youne Ee Rhee

¹Department of Anesthesiology, Chungnam National University, College of Medicine, Taejon, Korea.
²Department of Obstetrics and Gynecology, Chungnam National University, College of Medicine, Taejon, Korea.

Abstract

Pregnancy with liver cirrhosis and/or portal hypertension is uncommon. Additionally, pregnancy in young women who previously underwent splenorenal shunt operation for portal hypertension due to liver cirrhosis is extremely rare. Esophageal variceal rupture, fatal hemorrhage and epidural hematoma must be considered during the management of such patients. This is a case of epidural analgesia for labor in a patient who previously underwent splenorenal shunt operation for portal hypertension due to liver cirrhosis.

Key Words: Epidural Analgesia; Liver Cirrhosis; Vaginal Delivery; Splenorenal Shunt Operation