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

Authors

  • Niranjan N. Chavan Department of Obstetrics and Gynaecology, LTMMC, Sion, Mumbai, Maharashtra, India
  • Shikhanshi . Department of Obstetrics and Gynaecology, LTMMC, Sion, Mumbai, Maharashtra, India
  • Tulika Chouhan Department of Obstetrics and Gynaecology, LTMMC, Sion, Mumbai, Maharashtra, India
  • Shreya Kampoowale Department of Obstetrics and Gynaecology, LTMMC, Sion, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20213877

Keywords:

Hydronephrosis, Hydroureter, Pregnancy, DJ stenting

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.

Author Biography

Niranjan N. Chavan, Department of Obstetrics and Gynaecology, LTMMC, Sion, Mumbai, Maharashtra, India

Third year Junior Resident,

Department of Obstetrics and Gynaecology,

LTMMC, Sion

References

Williams J, Cunningham F, Leveno K. Obstetrics. 25th ed. Estados Unidos: McGraw-Hill. 2014;1037.

Çeçen K, Ülker K. The Comparison of Double J Stent Insertion and Conservative Treatment Alone in Severe Pure Gestational Hydronephrosis: A Case Controlled Clinical Study. Scientific World J. 2014;2014:1-6.

Song G, Hao H, Wu X, Li X, Xiao YX, Wang G et al. Treatment of renal colic with double-J stent during pregnancy: a report of 25 cases. Zhonghua Yi Xue Za Zhi. 2011;91(8):538-40.

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Published

2021-09-27

Issue

Section

Case Reports