从子宫内胎儿不能存活的妊娠晚期脑死亡孕妇获得器官一例报告。

IF 0.8 4区医学 Q4 IMMUNOLOGY

Transplantation proceedings Pub Date : 2025-01-01 DOI:10.1016/j.transproceed.2024.12.027

Michael Ghio , Aaron Cotton-Betteridge , Brian Chen , Humberto E. Bohorquez , Anil Paramesh

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引用次数: 0

摘要

背景：从脑死亡孕妇获得器官是罕见的，通常发生在胎儿分娩后。在这个病例报告中，我们描述了一个脑死亡的妇女在她怀孕的第三个月，子宫里有一个不能存活的胎儿。病例总结：我们报告了一例33岁妊娠38周的女性，由于疑似阿片类药物过量导致心脏骤停后出现缺氧脑损伤。在确认脑死亡和胎儿死亡后，对胎儿进行原位器官获取。尽管存在解剖学上的重大挑战，但通过创新的手术策略，成功地获得了肝脏和肾脏。结论：本病例强调了晚期妊娠原位胎儿器官获取的可行性，强调多学科规划和手术适应性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Organ Procurement From a Brain-Dead Pregnant Woman in Third Trimester With Nonviable Fetus in Utero: A Case Report

Background

Organ procurement from brain-dead pregnant women is rare and typically occurs postfetal delivery. In this case report, we describe organ procurement from a brain-dead woman in her third trimester of pregnancy with a nonviable fetus remaining in utero.

Case Summary

We report a 33-year-old woman at 38 weeks gestation who suffered anoxic brain injury following cardiac arrest due to suspected opioid overdose. After confirming brain death and fetal demise, organ procurement was performed with the fetus in situ. Despite significant anatomical challenges, successful procurement of the liver and kidneys was achieved through innovative surgical strategies.

Conclusion

This case highlights the feasibility of organ procurement in late-stage pregnancy with fetus in situ, emphasizing multidisciplinary planning and surgical adaptability.

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来源期刊

Transplantation proceedings 医学-免疫学

CiteScore

1.70

自引率

0.00%

发文量

502

审稿时长

60 days

期刊介绍： Transplantation Proceedings publishes several different categories of manuscripts, all of which undergo extensive peer review by recognized authorities in the field prior to their acceptance for publication. The first type of manuscripts consists of sets of papers providing an in-depth expression of the current state of the art in various rapidly developing components of world transplantation biology and medicine. These manuscripts emanate from congresses of the affiliated transplantation societies, from Symposia sponsored by the Societies, as well as special Conferences and Workshops covering related topics. Transplantation Proceedings also publishes several special sections including publication of Clinical Transplantation Proceedings, being rapid original contributions of preclinical and clinical experiences. These manuscripts undergo review by members of the Editorial Board. Original basic or clinical science articles, clinical trials and case studies can be submitted to the journal?s open access companion title Transplantation Reports.