Rupture of the maternal renal calyx secondary to fetal malpresentation: a case report.
J Reprod Med
; 60(3-4): 175-7, 2015.
Article
em En
| MEDLINE
| ID: mdl-25898484
ABSTRACT
BACKGROUND:
Rupture of the renal collecting system is a potentially life-threatening condition in pregnancy. Most cases are associated with obstruction from nephrolithiasis or diseased renal parenchyma. CASE A 24-year-old, nulliparous, African American woman at 38 weeks + 3 days' gestation presented with left flank pain refractory to conservative pain management. Computed tomography was negative for a stone but significant for infrarenal fluid and rupture of a left renal calyx. The fetal head was not flexed and appeared to be compressing the left ureter. A face presentation became apparent during her labor course, and she underwent a cesarean delivery when labor did not progress.CONCLUSION:
This represents the first reported case of a ruptured renal collecting system secondary to fetal malpresentation. A high index of suspicion is essential to diagnose collecting system rupture, and it may occur in the absence of parenchymal disease or stones.
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Bases de dados:
MEDLINE
Assunto principal:
Cálices Renais
/
Apresentação no Trabalho de Parto
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Adult
/
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
J Reprod Med
Ano de publicação:
2015
Tipo de documento:
Article