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Successful pregnancy in a Swyer syndrome patient with preexisting hypertension
George Creatsas1, Efthimios Deligeoroglou, Pantelis Tsimaris
1Division of Pediatric-Adolescent Gynecology and Reconstructive Surgery, 2nd Department of Obstetrics and Gynecology, University of Athens, Medical School, "Aretaieion" Hospital, Athens, Greece. geocre@aretaieio.uoa.gr
Objective:
To report a case of a successful pregnancy and delivery of a patient with 46,XY pure gonadal dysgenesis (Swyer syndrome) and preexisting chronic hypertension who underwent in vitro fertilization (IVF) and embryo transfer (ET).
Design:
Case report and review of the literature.
Setting:
2nd Department of Obstetrics and Gynecology, University of Athens, Medical School, "Aretaieion" Hospital. Division of Pediatric-Adolescent Gynecology and Reconstructive Surgery.
Patient(S):
A 35-year-old woman with Swyer syndrome and chronic idiopathic hypertension.
Intervention(S):
Karyotype analysis due to primary amenorrhea; gonadectomy, hormone therapy, investigation of hypertension, IVF using donor oocytes, embryo transfer and caesarean delivery for fetal distress.
Main Outcome Measure(S):
Successful pregnancy and live birth.
Result(S):
We present a rare case of a successful pregnancy of a patient with Swyer syndrome accompanied by idiopathic chronic hypertension.
Conclusion(S):
A woman with Swyer syndrome, hypoplastic uterus, and chronic hypertension delivered a healthy newborn.
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