Anesthetic Management of a Parturient with Cirrhotic Liver with Portal Hypertension Postvariceal Ligation for Emergency Cesarean Section

Abstract Although it is rare, pregnancy and cirrhosis of the liver provide significant challenge for anesthesiologists. Pregnancy-related physiological changes might worsen portal hypertension (PHTN), which can result in life-threatening consequences such as variceal hemorrhage. A thorough understanding of the effects of pregnancy-related alterations on portal hemodynamics and the implications of PHTN for the health of the mother and fetus is essential for managing pregnancy. We report an unbooked primigravida at 36 weeks who is a diagnosed case of cirrhosis liver with PHTN with esophageal banding done in labor for emergency cesarean section.