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Related Experiment Videos

Spontaneous renal rupture during pregnancy.

J T Van Winter1, P L Ogburn, D E Engen

  • 1Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN 55905.

Mayo Clinic Proceedings
|February 11, 1991
PubMed
Summary

Spontaneous renal rupture during pregnancy is rare, often linked to kidney disease. This case highlights spontaneous healing of the renal pelvis after ureteral stent placement for obstruction.

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Area of Science:

  • Nephrology
  • Urology
  • Obstetrics

Background:

  • Spontaneous rupture of the renal parenchyma or pelvis during pregnancy is a rare event, with only 16 previous cases reported.
  • Urinary collecting system dilatation is common in pregnancy, but spontaneous renal rupture is unusual and typically associated with underlying kidney pathology.
  • This case represents the 8th reported instance of spontaneous rupture of the renal collecting system without identifiable underlying pathology.

Purpose of the Study:

  • To report a rare case of spontaneous renal rupture during pregnancy.
  • To discuss the management and outcome of spontaneous renal rupture in pregnancy.
  • To contribute to the limited literature on spontaneous renal rupture in the absence of underlying kidney disease.

Main Methods:

  • Case report detailing a pregnant patient presenting with flank pain and nausea.
  • Diagnostic workup including assessment for urinary tract obstruction.
  • Intervention involved cystoscopic placement of a ureteral stent to relieve obstruction.

Main Results:

  • The patient experienced severe abdominal symptoms necessitating exploratory laparotomy.
  • Ureteral stent placement successfully relieved the obstruction.
  • The renal pelvis healed spontaneously following stent placement.

Conclusions:

  • Spontaneous renal rupture can occur in pregnancy even without pre-existing kidney disease.
  • Ureteral stent placement is an effective management strategy for relieving obstruction and promoting healing in spontaneous renal rupture.
  • This case adds to the understanding of spontaneous renal rupture, emphasizing its rarity and potential for conservative management.

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