A case of kidney graft injury during cesarean section in a pancreas and kidney transplantation recipient
Although organ transplantation is becoming general practice, little is known about the safety of delivery. This is the first known case that describes injury to the kidney by the uterine fundal pressure maneuver during cesarean section in a pancreas and kidney transplant recipient. A 40-year-old p...
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| Format: | Article |
| Language: | English |
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Fujita Medical Society
2025-02-01
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| Series: | Fujita Medical Journal |
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| Online Access: | https://www.jstage.jst.go.jp/article/fmj/11/1/11_2024-008/_pdf/-char/ja |
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| author | Noriko Aida Eiji Nishio Takao Sekiya Naohiro Aida Taihei Ito Takashi Kenmochi Haruki Nishizawa |
| author_facet | Noriko Aida Eiji Nishio Takao Sekiya Naohiro Aida Taihei Ito Takashi Kenmochi Haruki Nishizawa |
| author_sort | Noriko Aida |
| collection | DOAJ |
| description | Although organ transplantation is becoming general practice, little is known about the safety of delivery. This is the
first known case that describes injury to the kidney by the uterine fundal pressure maneuver during cesarean section
in a pancreas and kidney transplant recipient. A 40-year-old pregnant woman (gravida 0, para 0) was referred to our
clinic. She had undergone living donor kidney transplantation 11 years earlier and brain-dead donor pancreas
transplantation 1 year earlier owing to type 1 diabetes. Cesarean section was indicated when the patient’s blood
pressure was 150/100 mmHg at 37 weeks. We pushed the uterine fundus during delivery of the infant, with our
usual caution. Serum creatinine levels were 1.6–2.6 mg/dl postoperatively. As this elevation was considered to be
due to kidney graft dysfunction, we performed computed tomography, which revealed a hematoma around the
kidney graft. Fifteen days after the cesarean section, surgical removal of the hematoma was performed by the
transplant surgery team. Following hematoma removal, the serum creatinine level decreased to <1.4 mg/dl. We
present a case of kidney graft injury during cesarean section in a pancreas and kidney transplant recipient. |
| format | Article |
| id | doaj-art-95145940bf3d4d2e9c0aa4f628fab81a |
| institution | Kabale University |
| issn | 2189-7247 2189-7255 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Fujita Medical Society |
| record_format | Article |
| series | Fujita Medical Journal |
| spelling | doaj-art-95145940bf3d4d2e9c0aa4f628fab81a2025-02-04T04:35:22ZengFujita Medical SocietyFujita Medical Journal2189-72472189-72552025-02-01111525310.20407/fmj.2024-008A case of kidney graft injury during cesarean section in a pancreas and kidney transplantation recipientNoriko Aida0Eiji Nishio1Takao Sekiya2Naohiro Aida3Taihei Ito4Takashi Kenmochi5Haruki Nishizawa6Women’s Health Clinic KariyaginzaDepartment of Obstetrics and Gynecology, Fujita Health University, School of MedicineDepartment of Obstetrics and Gynecology, Fujita Health University, School of MedicineDepartment of Transplantation and Regenerative Medicine, Fujita Health University, School of MedicineDepartment of Transplantation and Regenerative Medicine, Fujita Health University, School of MedicineDepartment of Transplantation and Regenerative Medicine, Fujita Health University, School of MedicineDepartment of Obstetrics and Gynecology, Fujita Health University, School of MedicineAlthough organ transplantation is becoming general practice, little is known about the safety of delivery. This is the first known case that describes injury to the kidney by the uterine fundal pressure maneuver during cesarean section in a pancreas and kidney transplant recipient. A 40-year-old pregnant woman (gravida 0, para 0) was referred to our clinic. She had undergone living donor kidney transplantation 11 years earlier and brain-dead donor pancreas transplantation 1 year earlier owing to type 1 diabetes. Cesarean section was indicated when the patient’s blood pressure was 150/100 mmHg at 37 weeks. We pushed the uterine fundus during delivery of the infant, with our usual caution. Serum creatinine levels were 1.6–2.6 mg/dl postoperatively. As this elevation was considered to be due to kidney graft dysfunction, we performed computed tomography, which revealed a hematoma around the kidney graft. Fifteen days after the cesarean section, surgical removal of the hematoma was performed by the transplant surgery team. Following hematoma removal, the serum creatinine level decreased to <1.4 mg/dl. We present a case of kidney graft injury during cesarean section in a pancreas and kidney transplant recipient.https://www.jstage.jst.go.jp/article/fmj/11/1/11_2024-008/_pdf/-char/jakidney and pancreas transplantationkidney graft injurydeliveryuterine fundal pressure maneuvers |
| spellingShingle | Noriko Aida Eiji Nishio Takao Sekiya Naohiro Aida Taihei Ito Takashi Kenmochi Haruki Nishizawa A case of kidney graft injury during cesarean section in a pancreas and kidney transplantation recipient Fujita Medical Journal kidney and pancreas transplantation kidney graft injury delivery uterine fundal pressure maneuvers |
| title | A case of kidney graft injury during cesarean section in a pancreas and kidney transplantation recipient |
| title_full | A case of kidney graft injury during cesarean section in a pancreas and kidney transplantation recipient |
| title_fullStr | A case of kidney graft injury during cesarean section in a pancreas and kidney transplantation recipient |
| title_full_unstemmed | A case of kidney graft injury during cesarean section in a pancreas and kidney transplantation recipient |
| title_short | A case of kidney graft injury during cesarean section in a pancreas and kidney transplantation recipient |
| title_sort | case of kidney graft injury during cesarean section in a pancreas and kidney transplantation recipient |
| topic | kidney and pancreas transplantation kidney graft injury delivery uterine fundal pressure maneuvers |
| url | https://www.jstage.jst.go.jp/article/fmj/11/1/11_2024-008/_pdf/-char/ja |
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