[Spontaneous rupture of the upper urinary tract in a pregnant woman. Value of ultrasonography and computed tomography in the diagnosis and treatment]. / Rupture spontanée de la voie excrétrice urinaire supérieure chez une femme enceinte. Apport de l'échographie et de la tomodensitométrie dans le diagnostic et le traitement.

We report the eighteenth case of spontaneous rupture of the upper urinary tract in a pregnant woman (age = 24 years, term = 28 weeks). Sonography showed an anechogenic collection in the left perirenal area. Computed tomography confirmed the diagnosis of rupture. No cause could be determined due to the lack of an urography in post-partum. The first treatment was a double echo-guided percutaneous drainage. The pregnancy was completed to term with normal vaginal delivery of a live infant. Sonography showed complete cure.

[Drainage by echo-guided nephrostomy in hydronephrosis secondary to a pyelo-ureteral junction in a single kidney syndrome in a pregnant woman. Apropos of a case]. / Le drainage par néphrostomie échoguidée d'une hydronéphrose secondaire à un syndrome de la jonction pyélo-urétérale sur rein unique chez la femme enceinte. A propos d'un cas.

We report an exceptional case of pyeloureteral malformation which occurred on a single kidney. The malformation was discovered at 32 week of gestation when ultrasonography showed hydronephrosis. Initial treatment consisted in echoguided drainage. The patient gave birth to a live infant via normal vaginal delivery and then underwent resection of the pyeloureteral malformation with anastomotic reconstruction of the upper urinary tract.