Fichez Axel, Labrousse Caroline, Fromajoux Caroline, Bordes Agnès, Hadj Samia, Audra Philippe, Salle Bruno
Département de Médecine de Reproduction, Hôpital Edouard Herriot, Lyon, France.
Fertil Steril. 2008 Sep;90(3):849.e1-3. doi: 10.1016/j.fertnstert.2007.08.038. Epub 2007 Dec 3.
To describe the first case of IVF pregnancy in a pancreas-kidney recipient.
Case report.
Reproductive Medicine Department, Hôpital Edouard Herriot, Lyon, France.
INTERVENTION(S): In vitro fertilization in a pancreas-kidney recipient.
PATIENT(S): A 39 year-old nulliparous woman, with primary infertility and a history of pancreas-kidney transplant at 29 years of age.
MAIN OUTCOME MEASURE(S): Multidisciplinary agreement for the couple to be managed by IVF. Follow-up of pregnancy and delivery.
RESULT(S): Singleton IVF pregnancy in a pancreas-kidney recipient, maintained up to 34 weeks. Cesarian delivery ahead of labor. No severe maternal or fetal complications. Live birth. Normal postpartum renal function and glycemia.
CONCLUSION(S): An IVF pregnancy is feasible in a pancreas-kidney recipient. Such treatment should follow agreement by all the medical teams following the patient. Pregnancy in a pancreas-kidney recipient is at-risk, requiring close monitoring.
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