title: Pregnancy exacerbating hepatopulmonary syndrome.
abstract: 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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Obstetrics and Gynecology, Bnai-Zion Medical Center, Haifa, Israel. rsammour2002@hotmail.com
authors.forename: Rami N
authors.initials: RN
authors.lastname: Sammour
authors.forename: Eli
authors.initials: E
authors.lastname: Zuckerman
authors.forename: Naveh
authors.initials: N
authors.lastname: Tov
authors.forename: Ron
authors.initials: R
authors.lastname: Gonen
mesh_terms: D000328:Adult; D005260:Female; D020065:Hepatopulmonary Syndrome / Q000628:therapy*; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*