Antenatal Spontaneous Renal Forniceal Rupture Presenting as an Acute Abdomen

Case Reports in Medicine
Jennifer Travieso, Omar M Young

Abstract

Renal forniceal rupture is a lesser-known cause of acute abdomen in pregnancy. The ureteral compression by the gravid uterus places pregnant women at a higher risk. Sequelae in pregnancy could include intractable pain, acute kidney injury, and preterm birth. A 22-year-old primigravida with no prior medical history presented with an acute abdomen in her second trimester. The diagnosis of renal forniceal rupture was made by a radiologist using MRI. A percutaneous nephrostomy catheter was placed, and the patient's pain was relieved. She subsequently delivered at term. Upon presentation of an acute abdomen in pregnancy, providers may not include renal forniceal rupture in their differential as readily as obstetric or gynecologic causes, resulting in delayed diagnosis, unnecessary invasive interventions, and potentially adverse maternal and neonatal outcomes. Increasing provider awareness could result in improved outcomes.

References

Mar 1, 1988·European Journal of Obstetrics, Gynecology, and Reproductive Biology·P E Rasmussen, F R Nielsen
May 16, 2002·American Journal of Perinatology·Shoji SatohHitoo Nakano
Sep 9, 2005·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·L M SidraS Najia
Jul 9, 2011·BJU International·Boris GershmanBrian H Eisner
Sep 7, 2014·Saudi Journal of Kidney Diseases and Transplantation : an Official Publication of the Saudi Center for Organ Transplantation, Saudi Arabia·Imran Khan Jalbani, M H Ather
Oct 21, 2015·Case Reports in Obstetrics and Gynecology·Brent Hanson, Rami Tabbarah

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BETA
cesarean

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