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Case Reports
. 2021 May 31;14(5):e241597.
doi: 10.1136/bcr-2021-241597.

Catastrophic complications of urolithiasis in pregnancy

Harkirat Singh Talwar  1 , Vikas Kumar Panwar  2 , Rudra Prasad Ghorai  1 , Ankur Mittal  1
Affiliations
Case Reports

Catastrophic complications of urolithiasis in pregnancy

Harkirat Singh Talwar et al. BMJ Case Rep. .

Abstract

Urolithiasis is the most common non-obstetric complication in pregnancy and has the potential to cause grave consequences resulting in pregnancy loss. We present two such cases. First, a 24-year-old woman, 5 weeks pregnant with a history of urolithiasis presented with right flank pain and fever. She was found to have a right perinephric collection and during the course of her treatment suffered an abortion. The second case was a 25-year-old woman who presented in septic shock. She underwent emergency lower segment caesarean section elsewhere 10 days ago for intrauterine death at 38 weeks of gestation. On evaluation, she was found to have bilateral stone disease with a left subcapsular haematoma. Both the cases were managed conservatively and are planned for definitive management. Thus, women of childbearing age with diagnosed urolithiasis should get themselves evaluated and be free of stone disease before planning a family to prevent increased obstetric complications during pregnancy.

Keywords: abortion; reproductive medicine; urology.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Contrast-enhanced CT scan in case 1 showing the shrunken right kidney with perinephric collection with percutaneous nephrostomy and percutaneous drain in situ (arrows).
Figure 2
Figure 2
Contrast-enhanced CT scan in case 2 showing the right kidney stone (red arrow), left midureteric stone (blue arrow) and the left subcapsular haematoma (star).
Figure 3
Figure 3
Proposed management guideline of urolithiasis in pregnancy. MET, medical expulsion therapy; MRU, magnetic resonance urography.
See this image and copyright information in PMC

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