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Nabi, Ghulam; Deorah, Sundeep; Dogra, Prem Nath; Ambika, .

doi:10.1023/a:1019577605051

Cited by 7 publications

(4 citation statements)

References 10 publications

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“…Two-thirds of the patients delivered vaginally or instrumentally (69%, 22/32), and the remaining by caesarean section (31%, 10/32). One patient developed a perinephric haematoma following a double-J stent insertion which resulted in a spontaneous miscarriage at 19 weeks gestation [ 20 ]. A single neo-natal death occurred most likely due to extreme prematurity, following a 26-week delivery in a case of suspected cervical incompetence [ 7 ].…”

Section: Resultsmentioning

confidence: 99%

Spontaneous renal fornix rupture in pregnancy and the post partum period: a systematic review of outcomes and management

McKnoulty

Green

Scott³

et al. 2020

BMC Urol

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Background: Spontaneous renal fornix rupture (SRFR) causing urinoma is an uncommon but serious condition in pregnancy. Limited information is available to describe the natural history and outcomes to guide appropriate treatment. The aim of this study was to determine the natural history and outcomes of SRFR to determine appropriate management recommendations. Methods: A systematic review of literature databases was performed, using the Meta-analysis Of Observational Studies in Epidemiology (MOOSE) checklist from 1950-April 2020. Inclusion criteria included any urinary extravasation from the kidney or ureter during pregnancy, or in the 8 weeks following delivery, confirmed via imaging or surgery. Haematomas and non-confirmed cases were excluded. Results: A total of 1579 records were originally identified, of which 39 case reports were appropriate for inclusion. SRFR was most commonly reported during the first pregnancy (72%), 19/30 during the third trimester and 9 in the postnatal period. All patients presented with pain, with haematuria positive on urine dipstick in only 36% of 26 reported cases. Ultrasound was the most frequently used imaging modality, resulting in a diagnosis in 42% of cases. All cases reported on treatment procedures including ureteric stents (46%), percutaneous drain (15%), conservative management (15%), nephrostomy (13%) and ureteral catherization (10%). Long term urological outcomes were positive, however women suffering SRFR were significantly more likely to undergo pre-term labour. Conclusion: While selected cases may be successfully managed conservatively, urinary diversion, through ureteric stents, should be considered the management of choice in these individuals. Clinicians should be mindful of an increased risk of premature delivery and its' associated negative fetal outcomes.

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Section: Resultsmentioning

confidence: 99%

Spontaneous renal fornix rupture in pregnancy and the post partum period: a systematic review of outcomes and management

McKnoulty

Green

Scott³

et al. 2020

BMC Urol

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“…Pregnancy has been described as a much more rare cause of forniceal rupture [ 3 ]. Pregnancy with a solitary kidney, however, has also been reported to result in forniceal rupture [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…In cases where the collecting system is ruptured, the goal is to alleviate the outflow obstruction. For the patient with a gravid uterus that compresses the ureter, placement of a double J ureteral stent [ 4 ] or a nephrostomy tube should relieve the pressure [ 10 ]. Appropriate antibiotic coverage and close follow-up are required until definitive treatment is possible, that is, the delivery of the child.…”

Section: Discussionmentioning

confidence: 99%

“…Hwang et al performed a retrograde ureteral catheterization and were able to relieve the patient's flank pain and rapidly resorb the perinephric urinoma, which suggested that there was an open communication between the site of rupture and the urinoma [ 9 ]. Conservative management is usually adequate; however, should the patient demonstrate clinical deterioration in the form of decreasing hemoglobin or increasing in the size of collection, nephrectomy may be necessary to control the hemorrhage provided the other kidney is normal [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous Forniceal Rupture in Pregnancy

Upputalla

Moore

Jim

2015

Case Reports in Nephrology

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Forniceal rupture is a rare event in pregnancy. We report a case of a 26-year-old primigravid woman who experienced a forniceal rupture at 23 weeks of gestation with no inciting cause except for pregnancy. Pregnancy is associated with ureteral compression due to increase in pelvic vasculature with the right ureter more dilated due to anatomic reasons. Hormones such as prostaglandins and progesterone render the ureter more distensible to allow for pressure build-up and an obstructive picture at the collecting system. We will discuss physiologic changes in pregnancies that predispose to this uncommon phenomenon and the most up-to-date management strategies.

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Urinary Tract Obstruction or Rupture

Augustin

2023

Acute Abdomen During Pregnancy

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Cited by 7 publications

References 10 publications

Spontaneous renal fornix rupture in pregnancy and the post partum period: a systematic review of outcomes and management

Spontaneous renal fornix rupture in pregnancy and the post partum period: a systematic review of outcomes and management

Spontaneous Forniceal Rupture in Pregnancy

Urinary Tract Obstruction or Rupture

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