Harnleitersteinbedingte Fornixruptur in der Schwangerschaft

Abstract

Fornix rupture during pregnancy is rare. To be able to initiate the optimal therapy it is important to distinguish the spontaneous fornix rupture from the rupture caused by an obstruction. We report on a patient in the 18th week of pregnancy with strong flank pain on the left side. By means of MR urography the diagnosis of a left fornix rupture due to an obstructive stone could be made. A double-J catheter was placed in the left ureter and the patient received oral antibiotics.

MR-Diagnostik des Abdomens in der Schwangerschaft

“…Schwangerschaftswoche und dauert in der Regel 2 Wochen. Um die optimale Therapie einleiten zu können, ist es wichtig, die spontane Fornixruptur von der Ruptur auf dem Boden einer Obstruktion zu unterscheiden [26,27] (• ▶ Abb. 3, 4).…”

Rupture of the Left Renal Fornix after Vaginal Repair of Postpartum Vesicovaginal Fistula

“…As computed tomography with contrast medium administration is also associated with a risk of fornix rupture, the first step should consist of native computed tomography which, in many cases, will already suggest the diagnosis. Continuously increasing pressure can lead to distension, followed by rupture of the renal pelvis and extravasation of urine into the perirenal area [4]. The renal pelvic calyx system is unable to withstand the increased internal pressure and ruptures at the point where the tissue is weakest [3].…”

“…Extravasation of urine into the perirenal tissue may be visible on sonography. The differential diagnosis includes urinoma, hematoma or abscess [4,5]. Native computed tomography can show urine leakage into the parapelvic tissue, which would indicate forniceal rupture.…”