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Chapter 39 - Renal Stones, Pyelonephritis, and Urosepsis in Pregnancy

from Section 7 - Hepato-Renal and Gastrointestinal Conditions in Pregnancy

Published online by Cambridge University Press:  23 February 2023

By
Nader Fahmy  and
Amira El-Messidi
Edited by
Amira El-Messidi  and
Alan D. Cameron
Amira El-Messidi
Affiliation:
McGill University, Montréal
Alan D. Cameron
Affiliation:
University of Glasgow
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Summary

During your on-call duty, a healthy 24-year-old primigravida at 17 weeks’ gestation presents to the obstetric emergency assessment unit with a six-hour history of intermittent right flank pain.

Keywords

PregnancyRenal calculi, stonesRenal colicPhysiology, calculi formationInvestigations, serum, urineImaging, sonography, magnetic resonance urography, abdominal CT, fetal radiationManagement, conservativeMaternal-fetal complicationsPyelonephritis, sonography, obstetric complicationsPharmacologic treatmentPercutaneous nephrostomyUreteroscopy, stone fragmentation, obstetric considerationsMaternal urosepsis, definition, perinatal risks, investigations, management
Type
Chapter
Information
OSCEs in Obstetrics and Maternal-Fetal Medicine
An Evidence-Based Approach
 , pp. 509 - 520
Publisher: Cambridge University Press
Print publication year: 2023

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References

Suggested Readings

Assimos, D, Krambeck, A, Miller, NL, et al. Surgical management of stones: American Urological Association/Endourological Society Guideline, PART I. J Urol. 2016;196(4):1153–1160.CrossRefGoogle Scholar
Bonet, M, Nogueira Pileggi, V, Rijken, MJ, et al. Towards a consensus definition of maternal sepsis: results of a systematic review and expert consultation. Reprod Health. 2017;14(1):67. [Correction in Reprod Health. 2018 Jan 8;15(1):6]Google Scholar
Bowyer, L, Robinson, HL, Barrett, H, et al. SOMANZ guidelines for the investigation and management of sepsis in pregnancy. Aust N Z J Obstet Gynaecol. 2017;57(5):540–551.CrossRefGoogle ScholarPubMed
Bridwell, RE, Carius, BM, Long, B, et al. Sepsis in pregnancy: recognition and resuscitation. West J Emerg Med. 2019;20(5):822–832.Google Scholar
Dion, M, Ankawi, G, Chew, B, et al. CUA guideline on the evaluation and medical management of the kidney stone patient – 2016 update. Can Urol Assoc J. 2016;10(11–12):E347–E358.Google Scholar
Foeller, ME, Gibbs, RS. Maternal sepsis: new concepts, new practices. Curr Opin Obstet Gynecol. 2019;31(2):90–96.Google Scholar
Grette, K, Cassity, S, Holliday, N, et al. Acute pyelonephritis during pregnancy: a systematic review of the aetiology, timing, and reported adverse perinatal risks during pregnancy. J Obstet Gynaecol. 2020;40(6):739–748.Google Scholar
Masselli, G, Derme, M, Bernieri, MG, et al. Stone disease in pregnancy: imaging-guided therapy. Insights Imaging. 2014;5(6):691–696.Google Scholar
Society for Maternal-Fetal Medicine (SMFM) Consult Series No. 47: Plante, LA, Pacheco, LD, Louis, JM. Sepsis during pregnancy and the puerperium. Am J Obstet Gynecol. 2019;220(4):B2–B10. [Correction in Am J Obstet Gynecol. 2020 Oct 6]Google Scholar
Türk, C, Petřík, A, Sarica, K, et al. 2020 EAU guidelines on diagnosis and conservative management of urolithiasis. Available at https://uroweb.org/guideline/urolithiasis/. Accessed October 31, 2020.Google Scholar

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