ISSN: 2165-7548
Derek Barton
Ireland
Case Report
Spontaneous Non-traumatic Upper Urinary Tract Rupture in Pregnancy: Case Report and Literature Review
Author(s): Catalin-Iulian Efrimescu, Derek Barton and David Mulvin
Catalin-Iulian Efrimescu, Derek Barton and David Mulvin
Background: Hydroureteronephrosis is one of the most common causes of flank pain in pregnancy, which on rare occasions can progress to rupture of the urinary tract.
Case presentation: A 31 year old previously healthy primigravida presented to the Emergency Department complaining of severe left flank pain. A provisional diagnosis of renal colic secondary to a possible migrant renal calculus was established based on an initial bedside Ultrasound (US), with no abnormalities, and moderate microscopic haematuria on urinalysis. A Magnetic Resonance urogram was performed and demonstrated perinephric fluid considered related to a pelvicaliceal rupture on the left side, with no evidence of calculi. A left percutaneous nephrostomy was performed, however 48 hours later she developed similar symptoms on the right side. A serial US exam revealed resoluti.. View More»
DOI:
10.4172/2165-7548.1000135