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
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
  • [11] Pregnancy outcome and long-term follow-up after in vitro fertilization in women with renal transplantation
    Norrman, Emma
    Bergh, Christina
    Wennerholm, Ulla-Britt
    [J]. HUMAN REPRODUCTION, 2015, 30 (01) : 205 - 213
  • [12] Successful Pregnancies in Kidney Transplant Recipients: Experience of the National Kidney Transplant Program From Uruguay
    Orihuela, S.
    Nin, M.
    San Roman, S.
    Noboa, O.
    Curi, L.
    Silvarino, R.
    Gonzalez-Martinez, F.
    [J]. TRANSPLANTATION PROCEEDINGS, 2016, 48 (02) : 643 - 645
  • [13] Piccoli Giorgina Barbara, 2013, Rev Diabet Stud, V10, P6, DOI 10.1900/RDS.2013.10.6
  • [14] Timing of Pregnancy After Kidney Transplantation and Risk of Allograft Failure
    Rose, C.
    Gill, J.
    Zalunardo, N.
    Johnston, O.
    Mehrotra, A.
    Gill, J. S.
    [J]. AMERICAN JOURNAL OF TRANSPLANTATION, 2016, 16 (08) : 2360 - 2367
  • [15] Pregnancy after organ transplantation: A report from the UK transplant pregnancy registry
    Sibanda, Nokuthaba
    Briggs, J. Douglas
    Davison, John M.
    Johnson, Rachel J.
    Rudge, Chris J.
    [J]. TRANSPLANTATION, 2007, 83 (10) : 1301 - 1307
  • [16] Perspectives on Pregnancy in Women With CKD: A Semistructured Interview Study
    Tong, Allison
    Brown, Mark A.
    Winkelmayer, Wolfgang C.
    Craig, Jonathan C.
    Jesudason, Shilpanjali
    [J]. AMERICAN JOURNAL OF KIDNEY DISEASES, 2015, 66 (06) : 951 - 961
  • [17] Perspectives on pregnancy in women with chronic kidney disease: systematic review of qualitative studies
    Tong, Allison
    Jesudason, Shilpa
    Craig, Jonathan C.
    Winkelmayer, Wolfgang C.
    [J]. NEPHROLOGY DIALYSIS TRANSPLANTATION, 2015, 30 (04) : 652 - 661
  • [18] National transplantation pregnancy registry: Postpregnancy graft loss among female pancreas-kidney recipients
    Wilson, GA
    Coscia, LA
    McGrory, CH
    Dunn, SR
    Radomski, JS
    Moritz, MJ
    Armenti, VT
    [J]. TRANSPLANTATION PROCEEDINGS, 2001, 33 (1-2) : 1667 - 1669
  • [19] Pregnancy Outcomes for Kidney Transplant Recipients
    Wyld, M. L.
    Clayton, P. A.
    Jesudason, S.
    Chadban, S. J.
    Alexander, S. I.
    [J]. AMERICAN JOURNAL OF TRANSPLANTATION, 2013, 13 (12) : 3173 - 3182
  • [20] Predictive factors for adverse pregnancy outcomes after renal transplantation
    You, Ji Yeon
    Kim, Moon-Kyung
    Choi, Suk-Joo
    Oh, Soo-young
    Kim, Sung-Joo
    Kim, Jong-Hwa
    Oh, Ha-Young
    Roh, Cheong-Rae
    [J]. CLINICAL TRANSPLANTATION, 2014, 28 (06) : 699 - 706