Prophylactic Transjugular Intrahepatic Portosystemic Shunt Placement for Cirrhosis Management in Pregnancy.

Although pregnancy is uncommon in patients with cirrhosis, worsening portal hypertension increases the risk of variceal hemorrhage and bleeding during Cesarean section [1-3]. Bleeding typically occurs in the third trimester, when maternal blood volume maximally expands and the fetus increases intra-abdominal pressure. Endoscopic therapy is first-line therapy [1], but transjugular intrahepatic portosystemic shunt (TIPS) procedure, may be required as salvage therapy [1]. Here we present the use of prophylactic TIPS in a patient with established cirrhosis, ascites and significant imminent bleeding risk.