Esophageal Varices in Pregnancy Secondary to Hepatic Cirrhosis: A Case Report
Authors
Abstract
Introduction: Pregnancy complicated by liver disease is a rare but clinically challenging condition. Portal hypertension is one such liver disease that may occur in pregnant women, primarily caused by cirrhosis. Esophageal varices, a manifestation of portal hypertension, carry significant maternal and fetal mortality risks.
Case Description: We present the case of a 22-year-old woman referred from the Internal Medicine-Gastroenterology Department with a diagnosis of grade IV esophageal varices and grade IV gastric fundal varices. At the initial referral to the Obstetrics and Gynecology clinic, her pregnancy was estimated at 5–6 weeks gestation. Despite the high morbidity and rarity of this case, the patient maintained the pregnancy until 34–35 weeks of gestation. She had a two-year history of esophageal varices, with previous hospitalizations for melena and hematemesis. Fetomaternal ultrasound revealed a singleton fetus in cephalic presentation, consistent with 34–35 weeks of gestation, with suspected intrauterine growth restriction (IUGR). Abdominal ultrasound suggested hepatic cirrhosis, and endoscopic evaluation confirmed grade IV esophageal and gastric fundal varices. Termination of pregnancy was performed via abdominal delivery.
Conclusion: Preventing pregnancy complications, accurate diagnosis, and meticulous management that balances maternal and fetal risks are crucial in such cases to improve outcomes.
Similar Articles
- Dean Reza Purnama , Julyta Aliah, Indra Indra , Hemoperitoneum in Pregnancy: A Case Series and Clinical Management Insights , Journal of Society Medicine: Vol. 4 No. 8 (2025): August
- Amirra Fairuz SMW, Tubagus Ferdi Fadilah, Maternal Knowledge of Exclusive Breastfeeding and Nutritional Status of Children Under Two Years During the COVID-19 Pandemic , Journal of Society Medicine: Vol. 4 No. 1 (2025): January
- Ilham Habib Djarkoni, Muhammad Iqbal Basri, Muhammad Akbar, Firdaus Hamid, Andi Kurnia Bintang, Jumraini Tamasse, High Density Lipoprotein (HDL) Level and Blood Urea Nitrogen (BUN)/Creatinin Ratio Relationship with One-Month Outcome in Acute Ischemic Stroke Patients , Journal of Society Medicine: Vol. 2 No. 12 (2023): December
- Elsha Sinulingga Elsha, Jelita Siregar, Taufik Sungkar, Differences in MPV (Mean Platelet Volume) / Lymphocytes Ratio In Chronic Hepatitis B with and without Cirrhosis Hepatic , Journal of Society Medicine: Vol. 3 No. 6 (2024): June
- Ade Irma, Elvita Rahmi Daulay, Anggia Chairuddin Lubis, Measurement of Thoracic Aortic Diameter Using Contrast-Enhanced CT Chest Based on Age, Gender, and Hypertension , Journal of Society Medicine: Vol. 2 No. 3 (2023): March
- Rajuddin Rajuddin, Inong Indira Meutia, Prenatal Diagnosis, Neonatal Outcomes, and Management of Pregnancies Complicated by Gastroschisis , Journal of Society Medicine: Vol. 4 No. 9 (2025): September
- Muhammad Aldi Rivai Ginting Ginting, Suwarman Suwarman, Management of Acute Pulmonary Edema in Kidney Transplant Patients in the ICU , Journal of Society Medicine: Vol. 4 No. 5 (2025): May
- Rahmat Feryadi, Riswandi Riswandi, Anesthesia Management for Esophageal Atresia , Journal of Society Medicine: Vol. 4 No. 10 (2025): October
- Batian Lubis, Dis Bima P Purwaamidjaja, Mayang Indah Lestari, Faisal, Muhammad Husni Thamrin, Febri Akhmad Belinda, A Case Series of Bleeding Complication Post Percutaneous Dilatational Tracheostomy and Management , Journal of Society Medicine: Vol. 2 No. 12 (2023): December
- Arna Fransisca, Osmond Muftilov Pison , Management of A Preeclampsia Patient with Diabetic Ketoacidosis and Acute Pulmonary Edema : A Case Report , Journal of Society Medicine: Vol. 4 No. 3 (2025): March
You may also start an advanced similarity search for this article.