GENERAL ANESTHESIA IN POST-PARTUM BUDD CHIARI SYNDROME DURING EMERGENCY TRANSJUGULAR INTRAHEPATIC-PORTO-SYSTEMIC SHUNT (TIPS) PROCEDURE - A RARE CASE REPORT

Dr Surekha S Chavan; Dr Ishaa Pradhan; Dr Pravin Kutemate; Dr Stefen Jebaraj

Volume : IX, Issue : IV, April - 2020

GENERAL ANESTHESIA IN POST-PARTUM BUDD CHIARI SYNDROME DURING EMERGENCY TRANSJUGULAR INTRAHEPATIC-PORTO-SYSTEMIC SHUNT (TIPS) PROCEDURE - A RARE CASE REPORT

Dr Surekha S Chavan, Dr Ishaa Pradhan, Dr Pravin Kutemate, Dr Stefen Jebaraj

Abstract :

SUMMARY: Budd–Chiari syndrome (BCS) is associated with hepatic venous outflow obstruction, leading to acute or chronic symptomatology, classically treated with liver transplantation or portosystemic shunts. Prevalence in pregnancy is about 6.7% in world and 7% in India. But BCS in postpartum period is a rare condition and can be fatal & very little knowledge is revealed about anaesthesia management during shunts (TIPS) of such cases. Here we describe anaesthesia considerations during interventional radiological procedure (TIPS) done under general anaesthesia in a primipara female with chronic presentation of Budd–Chiari syndrome in postpartum period.