Renal Colic in Pregnant Women. Review

Renal colic is the most common cause of non-obstetric abdominal pain in pregnant woman and may be an indication for hospitalization. Nephrolithiasis occurs in 1 to 244-2000 pregnant women. Pregnancy is a condition when both physiological and mechanical changes increase the risk of kidney stones. Renal colic in pregnant women is associated with significant potential risk to the mother and the fetus. Diagnosis and management of nephrolithiasis during pregnancy is more complicated than in non-pregnant women. The gold standard in the diagnosis of renal colic during pregnancy is ultrasonography, in special situations other imaging techniques are also used. The first line treatment is usually conservative. If the conservative management fails or is contraindicated, more advanced treatment is used. In this article, we review metabolic changes during pregnancy that may promote renal stones formation, complications associated with acute renal colic in pregnancy and proposal of diagnostic and treatment algorithms for renal colic.

Agata Golik, Joanna Kacperczyk-Bartnik, Agnieszka Dobrowolska-Redo, Pawel Bartnik, Julia Zareba-Szczudlik, Ewa Romejko-Wolniewicz

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