Cargando…
A case report of successful pregnancy and delivery after peritoneal dialysis in a patient misdiagnosed with primary infertility
RATIONALE: Currently, 15% of women in fertility age are infertile and the frequency is increasing. Among the various causes of infertility, end-stage renal disease (ESRD) has been shown to decrease the frequency of pregnancies compared with normal females. However, dialysis of patients with ESRD inc...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6039588/ https://www.ncbi.nlm.nih.gov/pubmed/29952961 http://dx.doi.org/10.1097/MD.0000000000011148 |
_version_ | 1783338704960487424 |
---|---|
author | Choi, Chi-Young Cho, Nam-Jun Park, Samel Gil, Hyo Wook Kim, Yun-Sook Lee, Eun Young |
author_facet | Choi, Chi-Young Cho, Nam-Jun Park, Samel Gil, Hyo Wook Kim, Yun-Sook Lee, Eun Young |
author_sort | Choi, Chi-Young |
collection | PubMed |
description | RATIONALE: Currently, 15% of women in fertility age are infertile and the frequency is increasing. Among the various causes of infertility, end-stage renal disease (ESRD) has been shown to decrease the frequency of pregnancies compared with normal females. However, dialysis of patients with ESRD increases the likelihood of pregnancy. Herein, we report successful pregnancy and delivery after peritoneal dialysis in a patient who was misdiagnosed as primary infertility. PATIENT CONCERNS: A 37-year-old female who was unaware of her ESRD was misdiagnosed with primary infertility. After undergoing artificial insemination, she was referred to department of internal medicine because of generalized edema, dyspnea, nausea, vomiting, and poor oral intake. After evaluation, she was diagnosed with ESRD and initiated peritoneal dialysis. DIAGNOSES: The patients was on peritoneal dialysis for a year and discovered that she was pregnant. INTERVENTIONS: During pregnancy, the patient maintained a residual urine output, BUN levels below 50 mg/dL, controlled blood pressure and a targeted hemoglobin range. She obtained adequate calories and protein and was managed by a multidisciplinary team. OUTCOMES: The patient delivered a preterm male baby with no anomalies. LESSONS: ESRD should also be considered among the several causes of infertility in fertile women. If ESRD is the cause of infertility, the frequency of pregnancy increases following dialysis. If pregnancy is diagnosed early, intensive renal replacement therapy, adequate nutritional intake and regular fetal monitoring during pregnancy increase the chances of successful delivery while maintaining PD. |
format | Online Article Text |
id | pubmed-6039588 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-60395882018-07-16 A case report of successful pregnancy and delivery after peritoneal dialysis in a patient misdiagnosed with primary infertility Choi, Chi-Young Cho, Nam-Jun Park, Samel Gil, Hyo Wook Kim, Yun-Sook Lee, Eun Young Medicine (Baltimore) Research Article RATIONALE: Currently, 15% of women in fertility age are infertile and the frequency is increasing. Among the various causes of infertility, end-stage renal disease (ESRD) has been shown to decrease the frequency of pregnancies compared with normal females. However, dialysis of patients with ESRD increases the likelihood of pregnancy. Herein, we report successful pregnancy and delivery after peritoneal dialysis in a patient who was misdiagnosed as primary infertility. PATIENT CONCERNS: A 37-year-old female who was unaware of her ESRD was misdiagnosed with primary infertility. After undergoing artificial insemination, she was referred to department of internal medicine because of generalized edema, dyspnea, nausea, vomiting, and poor oral intake. After evaluation, she was diagnosed with ESRD and initiated peritoneal dialysis. DIAGNOSES: The patients was on peritoneal dialysis for a year and discovered that she was pregnant. INTERVENTIONS: During pregnancy, the patient maintained a residual urine output, BUN levels below 50 mg/dL, controlled blood pressure and a targeted hemoglobin range. She obtained adequate calories and protein and was managed by a multidisciplinary team. OUTCOMES: The patient delivered a preterm male baby with no anomalies. LESSONS: ESRD should also be considered among the several causes of infertility in fertile women. If ESRD is the cause of infertility, the frequency of pregnancy increases following dialysis. If pregnancy is diagnosed early, intensive renal replacement therapy, adequate nutritional intake and regular fetal monitoring during pregnancy increase the chances of successful delivery while maintaining PD. Wolters Kluwer Health 2018-06-29 /pmc/articles/PMC6039588/ /pubmed/29952961 http://dx.doi.org/10.1097/MD.0000000000011148 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0 |
spellingShingle | Research Article Choi, Chi-Young Cho, Nam-Jun Park, Samel Gil, Hyo Wook Kim, Yun-Sook Lee, Eun Young A case report of successful pregnancy and delivery after peritoneal dialysis in a patient misdiagnosed with primary infertility |
title | A case report of successful pregnancy and delivery after peritoneal dialysis in a patient misdiagnosed with primary infertility |
title_full | A case report of successful pregnancy and delivery after peritoneal dialysis in a patient misdiagnosed with primary infertility |
title_fullStr | A case report of successful pregnancy and delivery after peritoneal dialysis in a patient misdiagnosed with primary infertility |
title_full_unstemmed | A case report of successful pregnancy and delivery after peritoneal dialysis in a patient misdiagnosed with primary infertility |
title_short | A case report of successful pregnancy and delivery after peritoneal dialysis in a patient misdiagnosed with primary infertility |
title_sort | case report of successful pregnancy and delivery after peritoneal dialysis in a patient misdiagnosed with primary infertility |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6039588/ https://www.ncbi.nlm.nih.gov/pubmed/29952961 http://dx.doi.org/10.1097/MD.0000000000011148 |
work_keys_str_mv | AT choichiyoung acasereportofsuccessfulpregnancyanddeliveryafterperitonealdialysisinapatientmisdiagnosedwithprimaryinfertility AT chonamjun acasereportofsuccessfulpregnancyanddeliveryafterperitonealdialysisinapatientmisdiagnosedwithprimaryinfertility AT parksamel acasereportofsuccessfulpregnancyanddeliveryafterperitonealdialysisinapatientmisdiagnosedwithprimaryinfertility AT gilhyowook acasereportofsuccessfulpregnancyanddeliveryafterperitonealdialysisinapatientmisdiagnosedwithprimaryinfertility AT kimyunsook acasereportofsuccessfulpregnancyanddeliveryafterperitonealdialysisinapatientmisdiagnosedwithprimaryinfertility AT leeeunyoung acasereportofsuccessfulpregnancyanddeliveryafterperitonealdialysisinapatientmisdiagnosedwithprimaryinfertility AT choichiyoung casereportofsuccessfulpregnancyanddeliveryafterperitonealdialysisinapatientmisdiagnosedwithprimaryinfertility AT chonamjun casereportofsuccessfulpregnancyanddeliveryafterperitonealdialysisinapatientmisdiagnosedwithprimaryinfertility AT parksamel casereportofsuccessfulpregnancyanddeliveryafterperitonealdialysisinapatientmisdiagnosedwithprimaryinfertility AT gilhyowook casereportofsuccessfulpregnancyanddeliveryafterperitonealdialysisinapatientmisdiagnosedwithprimaryinfertility AT kimyunsook casereportofsuccessfulpregnancyanddeliveryafterperitonealdialysisinapatientmisdiagnosedwithprimaryinfertility AT leeeunyoung casereportofsuccessfulpregnancyanddeliveryafterperitonealdialysisinapatientmisdiagnosedwithprimaryinfertility |