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Obstetrics & Gynecology 2006;107:455-457
© 2006 by The American College of Obstetricians and Gynecologists
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CASE REPORT

Pregnancy Exacerbating Hepatopulmonary Syndrome

Rami N. Sammour, MD1, Eli Zuckerman, MD2, Naveh Tov, MD2 and Ron Gonen, MD1

From the 1Department of Obstetrics and Gynecology and 2Liver Unit, Department of Internal Medicine, Bnai-Zion Medical Center, Haifa, Israel.

BACKGROUND: Hepatopulmonary syndrome is an uncommon complication of liver cirrhosis. The natural history of this condition and its optimal management during pregnancy are not yet known.

CASE: We present the case of a 35-year-old woman with liver cirrhosis who developed severe dyspnea in the 25th week of gestation and was diagnosed as suffering from hepatopulmonary syndrome. She was managed conservatively until 35 weeks of gestation, when she was delivered by cesarean.

CONCLUSION: The natural history, in this case, indicates that pregnancy may induce hepatopulmonary syndrome in an otherwise asymptomatic cirrhotic patient. Oxygen supplementation was the cornerstone of treatment and resulted in a favorable outcome.






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