She is the first multivisceral transplant patient in the world to conceive and give birth.

The composite multivisceral transplant procedure included transplant of the patient's small bowel, stomach and pancreas.

Of note, it is one of the UK's six liver transplant centres and performs multivisceral transplants.

The median times for isolated intestine, intestine-liver, and multivisceral transplants are 30, 60, and 40 days post-operation respectively.

Multivisceral transplants are especially difficult and susceptible to complications because all organs must survive a conjoined procurement, transport, and transplantation.

Preservation of the native spleen, pancreas, and duodenum during a multivisceral transplant can reduce the risk of additional complications related to these structures.

The UM/Jackson Transplant Program is one of the nation's busiest, responsible for half of the pediatric multivisceral transplants in the world.

While in Arizona, Gruessner performed the state's first living and deceased intestinal transplants, first multivisceral transplant, first pediatric living donor liver transplant and first autologous islet transplant.

He said: “The young girl in this report was spared the trauma of having veins harvested from the deep neck or leg with the associated risk of lower limb disorders, and avoided the need for a liver or multivisceral transplantation.”

Florman SS, Fishbein TM, Schiano T, Letizia A, Fennelly E, DeSancho M. Multivisceral transplantation for portal hypertension and diffuse mesenteric thrombosis caused by protein C deficiency.