DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20213877

A rare case report on double J stenting in a rare case antepartum patient with right sided hydronephrosis and hydroureter

Niranjan N. Chavan, Shikhanshi ., Tulika Chouhan, Shreya Kampoowale

Abstract


Gestational hydronephrosis (GH) is caused due to dilatation effect of the progesterone as well as physical pressure of the gravid uterus. In pregnancy, its management is challenging as routine radiological investigations and surgical treatments cannot be performed due to the potential harm to the foetus. Women who fail to respond to conservative methods require intervention. Acute hydronephrosis and renal colic are common aetiologies for loin pain, and can lead to severe form of urinary tract infection affecting perinatal outcome. Double J (DJ) stenting during pregnancy is safe, requiring no intra-operative imaging, and inserted under local anaesthesia. It provides good symptom relief, low complication rate, efficient and safe modality for women with refractory symptoms. Multidisciplinary approach to this procedure is advised.


Keywords


Hydronephrosis, Hydroureter, Pregnancy, DJ stenting

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References


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