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Nephrolithiasis in pregnancy.

¹Scottsdale Memorial Family Practice Residency Program, Arizona.

American Family Physician

|September 1, 1989

Summary

This summary is machine-generated.

Nephrolithiasis, or kidney stones, can occur during pregnancy, often presenting as flank pain. Most kidney stones pass spontaneously, but diagnosis may involve ultrasound or limited intravenous pyelogram.

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Area of Science:

Nephrology
Urology
Obstetrics

Background:

Nephrolithiasis is uncommon in pregnant women but poses significant risks.
Flank pain is the most frequent symptom, alongside potential recurrent urinary tract infections.

Purpose of the Study:

To review the presentation, diagnosis, and management of nephrolithiasis in pregnancy.
To highlight the importance of timely diagnosis and appropriate intervention.

Main Methods:

Review of current literature on kidney stones in pregnancy.
Discussion of diagnostic imaging modalities, including ultrasound and limited intravenous pyelogram.
Analysis of spontaneous stone passage rates.

Main Results:

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Ultrasound is the primary diagnostic tool for suspected kidney stones in pregnant patients.

A limited intravenous pyelogram may be used when further imaging is necessary.

Approximately two-thirds of kidney stones pass spontaneously during pregnancy.

Conclusions:

Nephrolithiasis in pregnancy requires careful consideration due to potential complications.
Conservative management with expectant observation is often successful, with spontaneous passage occurring in many cases.
Appropriate diagnostic workup is crucial for effective management.