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

Fadak Mohammadi; Stephen McDonald; Erin Clark; Shilpanjali Jesudason

doi:10.1177/1753495X18789584

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

Fadak Mohammadi, Stephen McDonald, Erin Clark, Shilpanjali Jesudason

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Abstract

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.

Original language	English
Pages (from-to)	92-95
Number of pages	4
Journal	Obstetric Medicine
Volume	13
Issue number	2
DOIs	https://doi.org/10.1177/1753495X18789584
Publication status	Published or Issued - 1 Jun 2020

Keywords

High-risk pregnancy
kidney
pancreas
pre-eclampsia
transplantation

ASJC Scopus subject areas

Obstetrics and Gynaecology

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10.1177/1753495X18789584

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title = "Two pregnancies after simultaneous pancreas–kidney transplantation: A case report",

abstract = "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.",

keywords = "High-risk pregnancy, kidney, pancreas, pre-eclampsia, transplantation",

author = "Fadak Mohammadi and Stephen McDonald and Erin Clark and Shilpanjali Jesudason",

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T1 - Two pregnancies after simultaneous pancreas–kidney transplantation

T2 - A case report

AU - Mohammadi, Fadak

AU - McDonald, Stephen

AU - Clark, Erin

AU - Jesudason, Shilpanjali

N1 - Publisher Copyright: © The Author(s) 2018.

PY - 2020/6/1

Y1 - 2020/6/1

N2 - 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.

AB - 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.

KW - High-risk pregnancy

KW - kidney

KW - pancreas

KW - pre-eclampsia

KW - transplantation

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DO - 10.1177/1753495X18789584

M3 - Article

AN - SCOPUS:85058646411

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JO - Obstetric Medicine

JF - Obstetric Medicine

IS - 2

ER -

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

Abstract

Keywords

ASJC Scopus subject areas

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