Two pregnancies after simultaneous pancreas-kidney transplantation: A case report

被引:4
|
作者
Mohammadi, Fadak [1 ,2 ]
McDonald, Stephen [1 ,2 ]
Clark, Erin [3 ]
Jesudason, Shilpanjali [1 ,2 ,3 ]
机构
[1] Royal Adelaide Hosp, Cent & Northern Adelaide Renal & Transplantat Ser, Adelaide, SA, Australia
[2] Univ Adelaide, Dept Med, Adelaide, SA, Australia
[3] Womens & Childrens Hosp, Womens & Babies Div, Adelaide, SA, Australia
关键词
High-risk pregnancy; kidney; pancreas; transplantation; pre-eclampsia; RECIPIENTS; OUTCOMES; WOMEN; PERSPECTIVES;
D O I
10.1177/1753495X18789584
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Simultaneous kidney-pancreas transplantation can successfully restore fertility in women with type 1 diabetes mellitus and kidney failure. There have been few cases of pregnancy after simultaneous kidney-pancreas transplantation, and a second pregnancy is rare. We report a case of two live births in rapid succession in a simultaneous kidney-pancreas transplantation recipient, complicated by pre-eclampsia but with excellent fetal and graft outcomes. The first pregnancy was achieved with IVF, while the second was achieved naturally. Simultaneous kidney-pancreas transplantation with stable pre-pregnancy graft function enabled this patient to achieve successful pregnancy. However, both pregnancies were complicated by transient renal graft dysfunction and pre-eclampsia precipitating pre-term birth.
引用
收藏
页码:92 / 95
页数:4
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