Successful Pregnancy in a Patient with Autosomal Dominant Polycystic Kidney Disease on Long-Term Hemodialysis

Recent advances in dialysis and a multidisciplinary approach to pregnant patients with advanced chronic kidney disease provide a better outcome. A 38-yr-old female with autosomal dominant polycystic kidney disease (ADPKD) became pregnant. She was undergoing hemodialysis (HD) and her kidneys were mas...

Descripción completa

Detalles Bibliográficos
Autores principales: Jung, Ji Hye, Kim, Min Jeong, Lim, Hye Jin, Sung, Su-Ah, Lee, So-Young, Kim, Dae Woon, Lee, Kyu Beck, Hwang, Young-Hwan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Academy of Medical Sciences 2014
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3924015/
https://www.ncbi.nlm.nih.gov/pubmed/24550663
http://dx.doi.org/10.3346/jkms.2014.29.2.301
_version_ 1782303690791583744
author Jung, Ji Hye
Kim, Min Jeong
Lim, Hye Jin
Sung, Su-Ah
Lee, So-Young
Kim, Dae Woon
Lee, Kyu Beck
Hwang, Young-Hwan
author_facet Jung, Ji Hye
Kim, Min Jeong
Lim, Hye Jin
Sung, Su-Ah
Lee, So-Young
Kim, Dae Woon
Lee, Kyu Beck
Hwang, Young-Hwan
author_sort Jung, Ji Hye
collection PubMed
description Recent advances in dialysis and a multidisciplinary approach to pregnant patients with advanced chronic kidney disease provide a better outcome. A 38-yr-old female with autosomal dominant polycystic kidney disease (ADPKD) became pregnant. She was undergoing hemodialysis (HD) and her kidneys were massively enlarged, posing a risk of intrauterine fetal growth restriction. By means of intensive HD and optimal management of anemia, pregnancy was successfully maintained until vaginal delivery at 34.5 weeks of gestation. We discuss the special considerations involved in managing our patient with regard to the underlying ADPKD and its influence on pregnancy. GRAPHICAL ABSTRACT: [Image: see text]
format Online
Article
Text
id pubmed-3924015
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher The Korean Academy of Medical Sciences
record_format MEDLINE/PubMed
spelling pubmed-39240152014-02-18 Successful Pregnancy in a Patient with Autosomal Dominant Polycystic Kidney Disease on Long-Term Hemodialysis Jung, Ji Hye Kim, Min Jeong Lim, Hye Jin Sung, Su-Ah Lee, So-Young Kim, Dae Woon Lee, Kyu Beck Hwang, Young-Hwan J Korean Med Sci Case Report Recent advances in dialysis and a multidisciplinary approach to pregnant patients with advanced chronic kidney disease provide a better outcome. A 38-yr-old female with autosomal dominant polycystic kidney disease (ADPKD) became pregnant. She was undergoing hemodialysis (HD) and her kidneys were massively enlarged, posing a risk of intrauterine fetal growth restriction. By means of intensive HD and optimal management of anemia, pregnancy was successfully maintained until vaginal delivery at 34.5 weeks of gestation. We discuss the special considerations involved in managing our patient with regard to the underlying ADPKD and its influence on pregnancy. GRAPHICAL ABSTRACT: [Image: see text] The Korean Academy of Medical Sciences 2014-02 2014-01-28 /pmc/articles/PMC3924015/ /pubmed/24550663 http://dx.doi.org/10.3346/jkms.2014.29.2.301 Text en © 2014 The Korean Academy of Medical Sciences. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Jung, Ji Hye
Kim, Min Jeong
Lim, Hye Jin
Sung, Su-Ah
Lee, So-Young
Kim, Dae Woon
Lee, Kyu Beck
Hwang, Young-Hwan
Successful Pregnancy in a Patient with Autosomal Dominant Polycystic Kidney Disease on Long-Term Hemodialysis
title Successful Pregnancy in a Patient with Autosomal Dominant Polycystic Kidney Disease on Long-Term Hemodialysis
title_full Successful Pregnancy in a Patient with Autosomal Dominant Polycystic Kidney Disease on Long-Term Hemodialysis
title_fullStr Successful Pregnancy in a Patient with Autosomal Dominant Polycystic Kidney Disease on Long-Term Hemodialysis
title_full_unstemmed Successful Pregnancy in a Patient with Autosomal Dominant Polycystic Kidney Disease on Long-Term Hemodialysis
title_short Successful Pregnancy in a Patient with Autosomal Dominant Polycystic Kidney Disease on Long-Term Hemodialysis
title_sort successful pregnancy in a patient with autosomal dominant polycystic kidney disease on long-term hemodialysis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3924015/
https://www.ncbi.nlm.nih.gov/pubmed/24550663
http://dx.doi.org/10.3346/jkms.2014.29.2.301
work_keys_str_mv AT jungjihye successfulpregnancyinapatientwithautosomaldominantpolycystickidneydiseaseonlongtermhemodialysis
AT kimminjeong successfulpregnancyinapatientwithautosomaldominantpolycystickidneydiseaseonlongtermhemodialysis
AT limhyejin successfulpregnancyinapatientwithautosomaldominantpolycystickidneydiseaseonlongtermhemodialysis
AT sungsuah successfulpregnancyinapatientwithautosomaldominantpolycystickidneydiseaseonlongtermhemodialysis
AT leesoyoung successfulpregnancyinapatientwithautosomaldominantpolycystickidneydiseaseonlongtermhemodialysis
AT kimdaewoon successfulpregnancyinapatientwithautosomaldominantpolycystickidneydiseaseonlongtermhemodialysis
AT leekyubeck successfulpregnancyinapatientwithautosomaldominantpolycystickidneydiseaseonlongtermhemodialysis
AT hwangyounghwan successfulpregnancyinapatientwithautosomaldominantpolycystickidneydiseaseonlongtermhemodialysis

Ejemplares similares