Acute Hydronephrosis of Pregnancy

Schloss, Walter A.; Solomkin, M

doi:10.1016/s0022-5347(17)68298-3

Cited by 24 publications

(7 citation statements)

References 8 publications

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“…If positioning the patient on the unaffected side (with antibiotic therapy if appropriate) fails to relieve the situation, then ureteral catheterization or nephrostomy may be required. TypicalIy, the pain is immediately relieved by ureteric catheterization and the urine can be sterile or infected (Schloss & Solomkin 1952). Corrective surgery is best delayed until reassessment in the postpartum period (Meares 1978).…”

Section: Haematuria During Pregnancymentioning

confidence: 99%

The Kidney in Pregnancy: A Review

Davison

1983

J R Soc Med

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Nephrological reviews are usually accolades to progress in the field. Advances pertaining to renal structure and function, techniques to study them, and understanding renal disease and its treatment by dialysis and transplantation are examples. Unfortunately, the area of nephrology which relates to pregnancy has not advanced similarly and when clinicians are asked to advise whether or not women with kidney disease, a renal transplant or a history of previous pregnancies marred by severe hypertension, should conceive or if pregnant continue the gestation, it becomes obvious that data are scarce and opinions vary. This neglect is unfortunate as renal and hypertensive complications of pregnancy remain an important cause of morbidity and mortality in mother and fetus. This review focuses on (a) the renal changes which occur during normal pregnancy, stressing the relevance to clinical practice; (b) controversies surrounding some of the urinary tract problems encountered in pregnancy; (c) detection and management of chronic renal disease and the effect of pregnancy 'on remote prognosis; (d) the kidney in pre-eclampsia; (e) pregnancy in renal transplant and haemodialysis patients; and (f) acute renal failure in obstetric practice.

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Section: Haematuria During Pregnancymentioning

confidence: 99%

The Kidney in Pregnancy: A Review

Davison

1983

J R Soc Med

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“…How ever, in vivo and in vitro studies have been carried out with contradicting results [4,5,7,8]. In favor of an obstructive cause of dilatation are the facts that: (1) only the upper ureter is found dilated sug gesting ureteral compression by the gravide uterus at the level of the pelvic brim [3]; (2) a preponderance of right sided hydronephrosis in approximately 85% of cases in accordance with the different course of the right and left ureter when they cross the iliac vessels [3,5,15], and, (3) studies measuring intraureteral tonus at different lev els of the ureter have shown a significant difference between pregnant and nonpregnant women [9,10].…”

Section: Discussionmentioning

confidence: 99%

“…Studies have shown that up to 90% of pregnant women show some degree of asymptomatic dilatation of the calyces, the renal pelves and the upper two thirds of the ureters. Dilatation develops during the second tri mester of pregnancy, becomes maximal during the third trimester and reverts to normal within a few weeks post partum [2][3][4][5][6].This case report shows that total bilateral ureteral obstruction can occur in pregnancy with a normal medi cal history and an uneventful prenatal record as early as in the mid trimester. It also emphasizes that it is possible to carry through the pregnancy to the term, considering the maturity of the fetus as well as the health of the mother.…”

mentioning

confidence: 99%

“…By placing double-J-catheters in both ureters the patient was able to continue pregnancy to term. The catheters were removed 1 week postpartum.For more than 200 years it has been known that preg nancy is associated with changes of the urinary tract [1][2][3]. Studies have shown that up to 90% of pregnant women show some degree of asymptomatic dilatation of the calyces, the renal pelves and the upper two thirds of the ureters.…”

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confidence: 99%

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Acute Renal Failure due to Bilateral Ureteral Obstruction by the Pregnant Uterus

Εika

Skajaa²

1988

Urol Int

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“…[1][2][3][4][5][6] van Wagenen and Jerkins4) carried out some experiments in pregnant rhesus monkeys, stating that the dilatation of the upper urinary tract is dependent primarily upon the endocrine function of the placenta and secondarily upon the increased weight of the uterus with its contents during the pregnancy.…”

mentioning

confidence: 99%

An Excretory Urographic Study on the Upper Urinary Tract in Pregnant Women

Yamagiwa

1962

Tohoku J. Exp. Med.

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It is well known that the upper urinary tract, especially on the right side, of pregnant women is dilated. Twenty-nine pregnant women showing no abnormalities in urinary examina tions and in obstetrical conditions were selected. A total of 42 examinations were made : 4 at the 5th, 6 at the 6th, 8 at the 7th, 5 at the 8th, 7 at the 9th, 8 at the 10th months of pregnancy and 4 postpartum.In each examination the upper urinary tracts were visualized by means of excretory urography which was performed 10 minutes after intravenous injection of 30 ml of 76% Urografin with precaution to avoid compression of the abdomen.The period during which the examinations were made was divided into two periods: the former period including the 5th, 6th and 7th months of pregnancy, and the latter period including the 8th, 9th and 10th months. RESULTSThe results obtained will be epitomized as follows:1) The position of the right renal pelvis compared with that of the left renal pelvis is shown in Table I. In 4 out of 18 cases the right renal pelvis showed its 311

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Acute Hydronephrosis of Pregnancy

Cited by 24 publications

References 8 publications

The Kidney in Pregnancy: A Review

The Kidney in Pregnancy: A Review

Acute Renal Failure due to Bilateral Ureteral Obstruction by the Pregnant Uterus

An Excretory Urographic Study on the Upper Urinary Tract in Pregnant Women

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