Successful pregnancy outcome after in vitro fertilization in a pancreas-kidney recipient.
OBJECTIVE
To describe the first case of IVF pregnancy in a pancreas-kidney recipient.


METHODS
Case report.


METHODS
Reproductive Medicine Department, Hôpital Edouard Herriot, Lyon, France.


METHODS
In vitro fertilization in a pancreas-kidney recipient.


METHODS
A 39 year-old nulliparous woman, with primary infertility and a history of pancreas-kidney transplant at 29 years of age.


METHODS
Multidisciplinary agreement for the couple to be managed by IVF. Follow-up of pregnancy and delivery.


RESULTS
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.


CONCLUSIONS
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.
Fichez
Axel
A
Département de Médecine de Reproduction, Hôpital Edouard Herriot, Lyon, France.
Labrousse
Caroline
C
Fromajoux
Caroline
C
Bordes
Agnès
A
Hadj
Samia
S
Audra
Philippe
P
Salle
Bruno
B
D000328:Adult; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D007247:Infertility, Female / Q000628:therapy*; D016030:Kidney Transplantation; D050498:Live Birth; D016035:Pancreas Transplantation; D011247:Pregnancy; D016896:Treatment Outcome