TY - JOUR
T1 - Successful in utero intervention for bilateral renal agenesis
AU - Bienstock, Jessica L.
AU - Birsner, Meredith L.
AU - Coleman, Fred
AU - Hueppchen, Nancy A.
PY - 2014/8
Y1 - 2014/8
N2 - BACKGROUND: We report a case of bilateral renal agenesis treated with serial amnioinfusion in which the newborn survived the newborn period and was able to undergo peritoneal dialysis as a bridge to planned renal transplantation. CASE: A 34-year-old woman, gravida 1 para 0, presented at 23 1/7 weeks of gestation with a diagnosis of anhydramnios and bilateral renal agenesis. The patient underwent weekly serial amnioinfusion with the goal of improving fetal pulmonary development. At 28 weeks of gestation, the patient delivered a live newborn who required minimal respiratory support. The neonate is currently 9 months old and is undergoing daily peritoneal dialysis. CONCLUSION: Serial amnioinfusion appears to have mitigated the severe pulmonary compromise that has, in the past, led to the death of newborns with bilateral renal agenesis.
AB - BACKGROUND: We report a case of bilateral renal agenesis treated with serial amnioinfusion in which the newborn survived the newborn period and was able to undergo peritoneal dialysis as a bridge to planned renal transplantation. CASE: A 34-year-old woman, gravida 1 para 0, presented at 23 1/7 weeks of gestation with a diagnosis of anhydramnios and bilateral renal agenesis. The patient underwent weekly serial amnioinfusion with the goal of improving fetal pulmonary development. At 28 weeks of gestation, the patient delivered a live newborn who required minimal respiratory support. The neonate is currently 9 months old and is undergoing daily peritoneal dialysis. CONCLUSION: Serial amnioinfusion appears to have mitigated the severe pulmonary compromise that has, in the past, led to the death of newborns with bilateral renal agenesis.
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U2 - 10.1097/AOG.0000000000000339
DO - 10.1097/AOG.0000000000000339
M3 - Article
C2 - 25004316
AN - SCOPUS:84905095789
SN - 0029-7844
VL - 124
SP - 413
EP - 415
JO - Obstetrics and Gynecology
JF - Obstetrics and Gynecology
IS - 2 PART2
ER -