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Pregnancy in a woman with a continent appendicovesicostomy: a case report
Cindy Kinder1, Susanne L Bathgate, Nancy Gaba
1Department of Obstetrics and Gynecology, George Washington University School of Medicine,Washington, DC, USA.
Background:
Few cases of pregnancy following the Mitrofanoff procedure (continent appendicovesicostomy) have been reported, but in those cases there was an increased rate of cesarean delivery with no long-term consequences to renal function or to the urinary diversion.
Case:
A 15-year-old primagravida with a prior nephrectomy for a dysplastic kidney and prior continent appendicovesicostomy for urinary retention due to spina bifida occulta and neurogenic bladder had a pregnancy complicated by preterm premature rupture of membranes, preterm labor, breech presentation and cesarean delivery with the assistance of a urologist. The patient had a minimal decline in renal function, and she and the infant did well.
Conclusion:
Cesarean delivery should be reserved for obstetric indications. Surgical assistance by a urologist at the time of cesarean delivery may be helpful.
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