Renal colic is the most frequent nonobstetric cause for abdominal pain and subsequent hospitalization during pregnancy. The physio-anatomical changes in the urinary tract and the presence of the fetus may complicate the clinical presentation and management of nephrolithiasis. Ultrasound (US) is the primary radiological investigation of choice. Magnetic resonance urography (MRU) and low-dose computed tomography (CT) have to be considered as a second- and third-line test, respectively. If a study that uses ionizing radiation has to be performed, the radiation dose to the fetus should be as low as possible. The initial management of symptomatic ureteric stones is conservative during pregnancy. Intervention will be necessary in patients who do not respond to conservative measures. Therefore, it is crucial to obtain a prompt and accurate diagnosis to optimize the management of these patients.
Stone disease in pregnancy: imaging-guided therapy / Masselli, G.; Derme, Martina; Bernieri, M. G.; Polettini, Elisabetta; Casciani, E.; Monti, R.; Laghi, F.; FRAMARINO DEI MALATESTA, Marialuisa; Guida, M.; Brunelli, Roberto; Gualdi, Gianfranco. - In: INSIGHTS INTO IMAGING. - ISSN 1869-4101. - STAMPA. - (2014). [10.1007/s13244-014-0352-2]
Stone disease in pregnancy: imaging-guided therapy
DERME, MARTINA;M. G. Bernieri;POLETTINI, Elisabetta;FRAMARINO DEI MALATESTA, Marialuisa;BRUNELLI, Roberto;GUALDI, GIANFRANCO
2014
Abstract
Renal colic is the most frequent nonobstetric cause for abdominal pain and subsequent hospitalization during pregnancy. The physio-anatomical changes in the urinary tract and the presence of the fetus may complicate the clinical presentation and management of nephrolithiasis. Ultrasound (US) is the primary radiological investigation of choice. Magnetic resonance urography (MRU) and low-dose computed tomography (CT) have to be considered as a second- and third-line test, respectively. If a study that uses ionizing radiation has to be performed, the radiation dose to the fetus should be as low as possible. The initial management of symptomatic ureteric stones is conservative during pregnancy. Intervention will be necessary in patients who do not respond to conservative measures. Therefore, it is crucial to obtain a prompt and accurate diagnosis to optimize the management of these patients.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
