title: Successful twin pregnancy after orthotopic liver transplantation.
abstract: OBJECTIVE
  Report of a case of successful twin pregnancy following liver transplantation.
  
  
  METHODS
  A 42-year-old nulliparous-woman was subjected to an orthotopic liver transplantation due to Budd-Chiari syndrome. Sixteen months after the transplantation, an ultrasonography revealed twin pregnancy. Her prenatal course was uneventful, except for mild arterial hypertension. The immunosuppressive agents used during pregnancy were cyclosporine and prednisone.
  
  
  RESULTS
  The patient gave birth to two healthy girls at 37 weeks of gestation. The patient's postpartum course was uneventful with normal liver and renal function tests.
  
  
  CONCLUSIONS
  Following successful pregnancy, women may become pregnant and give birth to normal children, including twins
authors.affiliation: Department of Surgery and Gynecology and Obstetrics, Federal University of Parana, Curitiba, PR, Brazil.
authors.forename: Júlio Cezar Uili
authors.initials: JC
authors.lastname: Coelho
authors.forename: Mônica Beatriz
authors.initials: MB
authors.lastname: Parolin
authors.forename: Jorge E Fouto
authors.initials: JE
authors.lastname: Matias
mesh_terms: D000328:Adult; D006502:Budd-Chiari Syndrome / Q000601:surgery; D005260:Female; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D016031:Liver Transplantation / Q000276:immunology; D011247:Pregnancy; D011256:Pregnancy Outcome; D011272:Pregnancy, Multiple; D014427:Twins
chemical_list: D007166:Immunosuppressive Agents