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Am J Perinatol 2002; 19(4): 189-196
DOI: 10.1055/s-2002-28489
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

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
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Publication Date:
13 May 2002 (online)

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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

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