Successful In Utero Intervention for Bilateral Renal Agenesis

被引：49

作者：

Bienstock, Jessica L. ^{[1
]}

Birsner, Meredith L.

Coleman, Fred

Hueppchen, Nancy A.

机构：

[1] Johns Hopkins Univ, Sch Med, 600 N Wolfe St, Baltimore, MD 21287 USA

来源：

OBSTETRICS AND GYNECOLOGY | 2014年 / 124卷 / 02期

关键词：

D O I：

10.1097/AOG.0000000000000339

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

BACKGROUND: We report a case of bilateral renal agenesis treated with serial amnioinfusion in which the newborn survived the newborn period and was able to undergo peritoneal dialysis as a bridge to planned renal transplantation. CASE: A 34-year-old woman, gravida 1 para 0, presented at 23 1/7 weeks of gestation with a diagnosis of anhydramnios and bilateral renal agenesis. The patient underwent weekly serial amnioinfusion with the goal of improving fetal pulmonary development. At 28 weeks of gestation, the patient delivered a live newborn who required minimal respiratory support. The neonate is currently 9 months old and is undergoing daily peritoneal dialysis. CONCLUSION: Serial amnioinfusion appears to have mitigated the severe pulmonary compromise that has, in the past, led to the death of newborns with bilateral renal agenesis.

引用

页码：413 / 415

页数：3

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