What not to expect when you're expecting – Postpartum proximal ureteric rupture: A case report
| Autor: | Kathleen Rebecca Lockhart, Emmanuel Karantanis, Anna Rikard-Bell, David Malouf |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Abdominal pain
medicine.medical_specialty medicine.medical_treatment lcsh:Surgery urologic and male genital diseases lcsh:Gynecology and obstetrics Article 03 medical and health sciences 0302 clinical medicine medicine Caesarean section 030212 general & internal medicine Ureteroscopy Abscess reproductive and urinary physiology lcsh:RG1-991 030219 obstetrics & reproductive medicine medicine.diagnostic_test urogenital system business.industry Vaginal delivery Obstetrics and Gynecology Stent lcsh:RD1-811 medicine.disease Urinoma female genital diseases and pregnancy complications Ureter rupture Surgery surgical procedures operative Vaginal delivery after caesarean section medicine.symptom business Postpartum period Post-partum |
| Zdroj: | Case Reports in Women's Health, Vol 26, Iss, Pp-(2020) Case Reports in Women's Health |
| ISSN: | 2214-9112 |
| Popis: | Introduction Spontaneous ureteric rupture is an extremely rare cause of acute abdominal pain in the intrapartum and postpartum period. We present the case of a right ureteric rupture diagnosed immediately postpartum. Case A 23-year-old woman in her second pregnancy (who had had a previous caesarean section) developed acute-onset right-flank pain 12 h after vaginal delivery. A contrast computerized tomography scan suggested a ureteric injury; ureteroscopy diagnosed a proximal ureteric rupture and a stent was placed. Discussion This case outlines an extremely rare cause of abdominal pain in the peripartum. There can be serious complications, including urinoma, abscess and sepsis, and therefore the diagnosis should not be delayed. Highlights • Ureteric rupture is a rare cause of acute abdominal pain in the postpartum period. • Pregnancy physiology can increase the risk of spontaneous ureteric rupture. • CT scan is the imaging modality of choice for the diagnosis of ureteric rupture. • Complications of ureteric rupture include urinoma, abscess and sepsis. |
| Databáze: | OpenAIRE |
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