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

被引：5
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
来源：
OBSTETRIC MEDICINE | 2020年 / 13卷 / 02期
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
相关论文
共 20 条
  • [1] [Anonymous], 2018, 40 ANZDATA REG
  • [2] Armenti Vincent T, 2004, Clin Transpl, P103
  • [3] Successful management of six pregnancies resulting in live births after simultaneous pancreas kidney transplantation: a single-center experience
    Boesmueller, Claudia
    Pratschke, Johann
    Oellinger, Robert
    [J]. TRANSPLANT INTERNATIONAL, 2014, 27 (12) : E129 - E131
  • [4] Pregnancy in pancreas-kidney transplant recipients: report of three cases and review of the literature
    Bramham, Kate
    Lightstone, Liz
    Taylor, John
    Hakim, Nadey S.
    Harding, Kate
    McCarthy, Andrew
    Chowdhury, Paramit
    Duncan, Neil
    Nelson-Piercy, Catherine
    [J]. OBSTETRIC MEDICINE, 2010, 3 (02) : 73 - 77
  • [5] Pregnancy in Renal Transplant Recipients: A UK National Cohort Study
    Bramham, Kate
    Nelson-Piercy, Cathy
    Gao, Haiyan
    Pierce, Matthias
    Bush, Naomi
    Spark, Patsy
    Brocklehurst, Peter
    Kurinczuk, Jennifer J.
    Knight, Marian
    [J]. CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2013, 8 (02): : 290 - 298
  • [6] Managing pregnancy in chronic kidney disease: improving outcomes for mother and baby
    Fitzpatrick, Alyssa
    Mohammadi, Fadak
    Jesudason, Shilpanjali
    [J]. INTERNATIONAL JOURNAL OF WOMENS HEALTH, 2016, 8 : 273 - 285
  • [7] Pregnancy and Maternal Outcomes Among Kidney Transplant Recipients
    Levidiotis, Vicki
    Chang, Sean
    McDonald, Stephen
    [J]. JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2009, 20 (11): : 2433 - 2440
  • [8] Preeclampsia in kidney transplanted women; Outcomes and a simple prognostic risk score system
    Majak, Guri Baardstu
    Reisaeter, Anna Varberg
    Zucknick, Manuela
    Lorentzen, Bjorg
    Vangen, Siri
    Henriksen, Tore
    Michelsen, Trond Melbye
    [J]. PLOS ONE, 2017, 12 (03):
  • [9] Pregnancy outcomes in female pancreas-kidney recipients
    McGrory, CH
    Groshek, MA
    Sollinger, HW
    Moritz, MJ
    Armenti, VT
    [J]. TRANSPLANTATION PROCEEDINGS, 1999, 31 (1-2) : 652 - 653
  • [10] Pregnancy outcomes and impact of pregnancy on graft function in women after kidney transplantation
    Mohammadi, F. A.
    Borg, M.
    Gulyani, A.
    McDonald, S. P.
    Jesudason, S.
    [J]. CLINICAL TRANSPLANTATION, 2017, 31 (10)
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