Ramly Fathi, Mohamad Noor Azura Noor, Zahid Akmal Zulayla Mohd, Kasim Norhana Mohd, Teh Khai Yeong
Obstetrics & Gynaecology, Medical Faculty, UiTM Sungai Buloh, Malaysia.
Obstetrics & Gynaecology, Hospital Sungai Buloh, Malaysia.
Case Rep Womens Health. 2020 Nov 27;29:e00275. doi: 10.1016/j.crwh.2020.e00275. eCollection 2021 Jan.
Adult giant hydronephrosis in a normally sited kidney is unusual during pregnancy. The most frequent cause is congenital obstruction at the ureteropelvic junction. Ultrasound accompanied by magnetic resonance imaging (MRI) are valuable in reaching the diagnosis, especially when clinical assessment of an abdominal mass is inconclusive regarding aetiology. We report a case of giant hydronephrosis in a woman who presented at 23 weeks of gestation with abdominal distension. She was managed conservatively. Unfortunately, the pregnancy was complicated by severe pre-eclampsia at 32 weeks of gestation, necessitating delivery via emergency caesarean section. She had a smooth postpartum recovery, and subsequently standard imaging was performed before nephrectomy. The literature and previously reported cases of giant hydronephrosis in pregnancy are reviewed.
正常位置肾脏的成人巨大肾积水在孕期并不常见。最常见的病因是肾盂输尿管连接处的先天性梗阻。超声检查结合磁共振成像（MRI）对明确诊断很有价值，尤其是当对腹部肿块的临床评估在病因方面尚无定论时。我们报告一例巨大肾积水病例，该孕妇在妊娠23周时出现腹部膨隆。她接受了保守治疗。不幸的是，妊娠在32周时并发严重先兆子痫，需要紧急剖宫产分娩。她产后恢复顺利，随后在肾切除术前进行了标准影像学检查。本文对妊娠合并巨大肾积水的文献及既往报道病例进行了综述。
