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Gravidez após transplante hepático

Sucessful pregnancy after liver transplantation

Resumo

The objective of the present study is to report a sucessful pregnancy in a 28 year-old female who underwent an orthotopic liver transplantation two years ago due to type I auto immune he patitis. Patient was taking cyclosporin, prednisone and azathioprine for maintenance immunossupression and had good graft function during all the pregnancy. The liver function tests were normal during the pregnancy. Fetal growth was monitored by ultrasonographic examination and showed normal development. At the end of the third trimester, she was subjected to a cesarean bearing a healthy girl weighting 2,320 kg. She was discharged with normal liver functions tests and no complications.

Pregnancy; Liver transplantation; Hepatitis


Pregnancy; Liver transplantation; Hepatitis

RELATOS DE CASOS

Gravidez após transplante hepático

Sucessful pregnancy after liver transplantation

Júlio Cezar Uili Coelho, TCBC-PRI; Júlio Cesar Wiederkehr, TCBC-PRII; Mônica Beatriz ParolinIII; Elizabeh BalbiIII; Luiz A. TerezaIV; Aissar Eduardo NassifV

IProfessor Titular e Chefe da Disciplina de Cirurgia do Aparellho Digestivo

IIPo rofessor Adjunto da Disciplina de Cirurgia do Aparelho Digestivo

IIIMédica Hepatologista do Serviço de Transplante Hepático

IVProfessor Adjunto do Departamento de Tocoginecologia

VAcadêmico de Medicina do 6 anos

Endereço para correspondência Endereço para correspondência: Dr. Júlio Cezar Uili Coelhoo Viana, 11 Rua Bento Viana, 1140/2202 80240-110 - Curitiba - PR

ABSTRACT

The objective of the present study is to report a sucessful pregnancy in a 28 year-old female who underwent an orthotopic liver transplantation two years ago due to type I auto immune he patitis. Patient was taking cyclosporin, prednisone and azathioprine for maintenance immunossupression and had good graft function during all the pregnancy. The liver function tests were normal during the pregnancy. Fetal growth was monitored by ultrasonographic examination and showed normal development. At the end of the third trimester, she was subjected to a cesarean bearing a healthy girl weighting 2,320 kg. She was discharged with normal liver functions tests and no complications.

Key words: Pregnancy; Liver transplantation; Hepatitis.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Recebido em 5/5/98

Aceito para publicação em 2/8/98

Trabalho realizado nos Serviços de Transplane Hepático de Tocoginecologia do Hospital de Clínicas da Universidade Federal do Paraná.

  • 1. Albengres H, LeLouet H, Tillement JP. Imunossupressive drugs and pregnancy: experimental and clinical data. Transplant Proc 1997; 29:2.4612.466.
  • 2. Boisriveaud CH, Pons V, Lefrançois N, et al. Transplant and fetus: how do they coexist in the maternal mind. Transplant Proc 1997; 29:2.475-6.
  • 3. Scantlebury V, Gordon R, Tzakis A, et al. Childbearing after liver transplantation. Transplantation 1990;49:317-21.
  • 4. Radomski JS, Moritz MJ, Munoz SJ. National pregnancy registry: analysis of pregnancy outcomes in females liver transplant recipients. Liver Transplant Surg 1997;1:281-4.
  • 5. Pruvot FR, Declerk N, Valat-Rigot AS, et al. Pregnancy after liver transplantation: focusing on risks to the mother. Transplantion Proc 1997;29:2.470-1.
  • Endereço para correspondência:

    Dr. Júlio Cezar Uili Coelhoo Viana, 11
    Rua Bento Viana, 1140/2202
    80240-110 - Curitiba - PR
  • Datas de Publicação

    • Publicação nesta coleção
      31 Maio 2010
    • Data do Fascículo
      Dez 1998

    Histórico

    • Aceito
      02 Ago 1998
    • Recebido
      05 Maio 1998
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