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Case 25 - A 30-Year-Old Presents at 18 Weeks’ Gestation with Severe Right Back and Flank Pain

from Section 3 - Antepartum (Late Pregnancy)

Published online by Cambridge University Press:  08 April 2025

Peter F. Schnatz
Affiliation:
The Reading Hospital, Pennsylvania
D. Yvette LaCoursiere
Affiliation:
University of California, San Diego
Christopher M. Morosky
Affiliation:
University of Connecticut School of Medicine
Jonathan Schaffir
Affiliation:
The Ohio State University College of Medicine
Vanessa Torbenson
Affiliation:
Mayo Clinic Alix School of Medicine
David Chelmow
Affiliation:
Virginia Commonwealth School of Medicine
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Summary

The workup of urolithiasis during pregnancy often requires a multidisciplinary approach. This case examines the physical and anatomical changes in pregnancy that can lead to urolithiasis and the pathophysiology of the disease. Through a patient case, the physical findings, laboratory tests, and imaging studies needed to establish a diagnosis of urolithiasis in pregnancy is reviewed. Treatment options for urolithiasis and special considerations in the pregnant population are then discussed in detail, covering both conservative management and invasive procedures. Specific guidance is provided as to when additional imaging tests or consultation with interventional radiology or urology is warranted.

Type
Chapter
Information
Pregnancy Complications
A Case-Based Approach
, pp. 78 - 80
Publisher: Cambridge University Press
Print publication year: 2025

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References

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Jin, X, Liu, B, Xiong, Y, et al. Outcomes of Ureteroscopy and Internal Ureteral Stent for Pregnancy with Urolithiasis: A Systematic Review and Meta-analysis. BMC Urol. 2022;22(1):150. http://dx.doi.org/10.1186/s12894-022-01100-w (accessed September 26, 2024).Google ScholarPubMed

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