Gallstones and their complications, pms eulachon

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Gallstones and their complications, and the rupture of a hepatic adenoma, have an increased incidence during pregnancy.   17.3 Pregnancy Occurring in Chronic eulachon Liver Disease page 553 Pregnancy is unusual in patients eulachon with chronic eulachon liver disease. Fertility becomes nearly normal when cirrhosis is well compensated or the active liver disease improves with appropriate therapy (e.g., autoimmune hepatitis on steroids). The degree of hepatic impairment determines the risk for the mother during the pregnancy. Hemorrhage from esophageal varices is the most significant complication of cirrhosis in pregnancy. The increased blood volume and flow through the azygous system that are a part of any normal pregnancy raise the pressure in the esophageal veins; in established cirrhosis this increases variceal size and the likelihood of bleeding.
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