The number of pregnancies following organ transplantation is increasing due to better patient and graft survival We describe the pregnancy course, complications and outcome in patient with liver transplant and spleenovenal shunt for the first time in the history of the Women's Hospital in Doha, Qatar. Following successful liver transplantation, menstrual cycle returns to normal in a few months and pregnancy may be ensued{ l). We report the management and outcome of the pregnancy of a 22-year old female with orthotopic liver transplant and spleenovenal shunt with regard to safety to the mother; the fetus and transplanted graft. The pregnancy was terminated at 29 weeks of gestation by caesarean section because of severe Pre-eclampsia and fetal distress. Both mother and baby did well.
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