Acute portal hypertension and oesophageal varices in pregnancy

Non-cirrhotic portal hypertension (PHTN) is often attributed to portal vein thrombosis and may cause serious complications. Described here is a woman with a new portal vein thrombosis in her third pregnancy, complicated by PHTN and oesophageal varices. She was managed using a multi-centre, multidisciplinary approach throughout her pregnancy and delivered a healthy baby at term via induced vaginal birth. Here, the treatment modalities available for pregnant women with PHTN and the management of complications are discussed.