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Complicated hydronephrosis of pregnancy
Acta Obstetricia Et Gynecologica Scandinavica
|January 1, 1981
Summary
Pregnancy can worsen moderate hydronephrosis (swelling of the kidney) caused by ureteropelvic junction obstruction. Management included nephrectomy or percutaneous nephrostomy to preserve kidney function during pregnancy.
Area of Science:
- Urology
- Nephrology
- Obstetrics
Background:
- Hydronephrosis, a kidney condition, can present moderately before pregnancy.
- Functional obstruction at the pelvi-ureteral junction can cause hydronephrosis.
- Pregnancy can exacerbate pre-existing urological conditions.
Observation:
- A case series describing the course of moderate hydronephrosis during pregnancy.
- Patients experienced aggravated hydronephrosis due to ureteropelvic junction obstruction.
- Two distinct patient outcomes were observed.
Findings:
- One patient required nephrectomy post-partum due to severe hematuria.
- Another patient successfully completed pregnancy after percutaneous nephrostomy during late gestation.
- Percutaneous nephrostomy can be a viable option to manage hydronephrosis during pregnancy.
Implications:
- Highlights the importance of monitoring hydronephrosis during pregnancy.
- Suggests tailored management strategies for pregnant patients with ureteropelvic junction obstruction.
- Emphasizes the potential for conservative management to preserve renal function.