Spontaneous Rupture of the Renal Pelvis During Pregnancy: A Case Report and Review of the Literature

Shoji Satoh; Akiko Okuma; Yasuyuki Fujita; Masatoshi Tamaka; Hitoo Nakano

doi:10.1055/s-2002-28489

American Journal of Perinatology, Table of Contents

Am J Perinatol 2002; 19(4): 189-196
DOI: 10.1055/s-2002-28489

Spontaneous Rupture of the Renal Pelvis During Pregnancy: A Case Report and Review of the Literature

Shoji Satoh¹ , Akiko Okuma² , Yasuyuki Fujita² , Masatoshi Tamaka³ , Hitoo Nakano²

¹Maternity and Perinatal Care Unit, Kyushu University Hospital, Fukuoka, Japan
²Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
³Department of Urology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan

Abstract

ABSTRACT

We report a case with spontaneous rupture of the renal pelvis during pregnancy. A 34-year-old Japanese woman was referred at 20 weeks' gestation because of sudden severe right flank pain. She had severe colic pain radiating to the right lower abdomen with percussion tenderness at the right costovertebral angle and was initially suspected to have renal/ureteral calculi. Ultrasonography and intravenous pyelography showed urine extravasating from the renal pelvis, indicating rupture of the right renal pelvis. Immediately following the insertion of a double-J indwelling catheter, her symptoms and perirenal extravasation ceased. She had no further urological problems during pregnancy and a male infant was delivered at 41 weeks' gestation. Cases with spontaneous rupture of the renal pelvis in pregnancy are reviewed.

KEYWORDS

Rupture of the renal pelvis - pregnancy - extravasation

Full Text

References

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