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Perinatal Management in a Pregnant Woman with Ureteropelvic Junction Obstruction: Case Report and Literature Review

Although giant hydronephrosis (GH) associated with ureteropelvic junction obstruction (UPJO) is extremely rarely detected in pregnant women, diagnostic methods, therapeutic approaches, and perinatal management have not been established. A 31-year-old Japanese primipara had a 15 cm × 12 cm multi-cyst...

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Autores principales: Tamura, Daisuke, Narita, Shintaro, Yamauchi, Misa, Watanabe, Rina, Yokoyama, Shota, Kikuchi, Akane, Shitara, Akihiro, Chiba, Syuji, Saito, Fumiko, Sugita, Akihiro, Sato, Kazunari, Karube, Akihiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9029582/
https://www.ncbi.nlm.nih.gov/pubmed/35453962
http://dx.doi.org/10.3390/diagnostics12040913
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author Tamura, Daisuke
Narita, Shintaro
Yamauchi, Misa
Watanabe, Rina
Yokoyama, Shota
Kikuchi, Akane
Shitara, Akihiro
Chiba, Syuji
Saito, Fumiko
Sugita, Akihiro
Sato, Kazunari
Karube, Akihiro
author_facet Tamura, Daisuke
Narita, Shintaro
Yamauchi, Misa
Watanabe, Rina
Yokoyama, Shota
Kikuchi, Akane
Shitara, Akihiro
Chiba, Syuji
Saito, Fumiko
Sugita, Akihiro
Sato, Kazunari
Karube, Akihiro
author_sort Tamura, Daisuke
collection PubMed
description Although giant hydronephrosis (GH) associated with ureteropelvic junction obstruction (UPJO) is extremely rarely detected in pregnant women, diagnostic methods, therapeutic approaches, and perinatal management have not been established. A 31-year-old Japanese primipara had a 15 cm × 12 cm multi-cystic mass in the right abdomen detected by transabdominal ultrasound at gestational week 26. Magnetic resonance imaging revealed that the mass was right renal GH. She underwent serial ultrasound-guided transretroperitoneal drainage as conservative treatment. She delivered vaginally at gestational week 36. Since she had flank pain and a documented non-functional right kidney, laparoscopic nephrectomy was conducted 22 months after delivery. UPJO with fewer smooth muscle cells and fibrosis was histologically diagnosed in the surgical specimen. Her postpartum and postoperative courses were uneventful for 10 months. We performed a literature review of diagnostic methods, clinical characteristics, and perinatal management in pregnant women with GH due to UPJO.
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spelling pubmed-90295822022-04-23 Perinatal Management in a Pregnant Woman with Ureteropelvic Junction Obstruction: Case Report and Literature Review Tamura, Daisuke Narita, Shintaro Yamauchi, Misa Watanabe, Rina Yokoyama, Shota Kikuchi, Akane Shitara, Akihiro Chiba, Syuji Saito, Fumiko Sugita, Akihiro Sato, Kazunari Karube, Akihiro Diagnostics (Basel) Case Report Although giant hydronephrosis (GH) associated with ureteropelvic junction obstruction (UPJO) is extremely rarely detected in pregnant women, diagnostic methods, therapeutic approaches, and perinatal management have not been established. A 31-year-old Japanese primipara had a 15 cm × 12 cm multi-cystic mass in the right abdomen detected by transabdominal ultrasound at gestational week 26. Magnetic resonance imaging revealed that the mass was right renal GH. She underwent serial ultrasound-guided transretroperitoneal drainage as conservative treatment. She delivered vaginally at gestational week 36. Since she had flank pain and a documented non-functional right kidney, laparoscopic nephrectomy was conducted 22 months after delivery. UPJO with fewer smooth muscle cells and fibrosis was histologically diagnosed in the surgical specimen. Her postpartum and postoperative courses were uneventful for 10 months. We performed a literature review of diagnostic methods, clinical characteristics, and perinatal management in pregnant women with GH due to UPJO. MDPI 2022-04-06 /pmc/articles/PMC9029582/ /pubmed/35453962 http://dx.doi.org/10.3390/diagnostics12040913 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Tamura, Daisuke
Narita, Shintaro
Yamauchi, Misa
Watanabe, Rina
Yokoyama, Shota
Kikuchi, Akane
Shitara, Akihiro
Chiba, Syuji
Saito, Fumiko
Sugita, Akihiro
Sato, Kazunari
Karube, Akihiro
Perinatal Management in a Pregnant Woman with Ureteropelvic Junction Obstruction: Case Report and Literature Review
title Perinatal Management in a Pregnant Woman with Ureteropelvic Junction Obstruction: Case Report and Literature Review
title_full Perinatal Management in a Pregnant Woman with Ureteropelvic Junction Obstruction: Case Report and Literature Review
title_fullStr Perinatal Management in a Pregnant Woman with Ureteropelvic Junction Obstruction: Case Report and Literature Review
title_full_unstemmed Perinatal Management in a Pregnant Woman with Ureteropelvic Junction Obstruction: Case Report and Literature Review
title_short Perinatal Management in a Pregnant Woman with Ureteropelvic Junction Obstruction: Case Report and Literature Review
title_sort perinatal management in a pregnant woman with ureteropelvic junction obstruction: case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9029582/
https://www.ncbi.nlm.nih.gov/pubmed/35453962
http://dx.doi.org/10.3390/diagnostics12040913
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