| Problematic renal calculi presenting during pregnancy. | |
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MedLine Citation:
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PMID: 8678449 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Urinary tract calculi presenting during pregnancy are rare, with less than 0.1% of pregnancies being associated with stones, the vast majority being asymptomatic and a chance finding. We outline six cases treated over an 8-year period. They presented with combinations of pain, sepsis and obstruction. Intervention was required in four cases: insertion of antegrade nephrostomy, double-J stent, Dormia basket stone extraction, open pyelolithotomy and induction of labour. In each case the pregnancy had a successful outcome. Renal colic can precipitate premature labour. Delayed diagnosis and intervention can result in permanent renal impairment. Ionising radiation and anaesthetic agents may be harmful during pregnancy. The problem is rarely encountered and we therefore present information on the relative risks in each trimester of exposure to the mother and fetus and present a clinical algorithm for the management of these patients. |
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Authors:
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L J Fligelstone; S N Datta; C Evans; P N Matthews |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Annals of the Royal College of Surgeons of England Volume: 78 ISSN: 0035-8843 ISO Abbreviation: Ann R Coll Surg Engl Publication Date: 1996 Mar |
Date Detail:
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Created Date: 1996-08-15 Completed Date: 1996-08-15 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 7506860 Medline TA: Ann R Coll Surg Engl Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 142-5 Citation Subset: IM |
Affiliation:
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Department of Urology, University Hospital of Wales, Cardiff. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Algorithms Female Humans Kidney Calculi / diagnosis, surgery* Pregnancy Pregnancy Complications / diagnosis, surgery* Pregnancy Outcome |
| Comments/Corrections | |
Comment In:
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Ann R Coll Surg Engl. 1996 Jul;78(4):399
[PMID:
8712672
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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