title: [Renal colic in pregnancy: series of 103 cases].
abstract: OBJECTIVE
  To evaluate the management of renal colic in pregnant woman in our hospital.
  
  
  METHODS
  A retrospective study of 103 pregnant patients, hospitalized for back pain of renal colic type, associated or not with a urinary tract infection, between January 2005 and October 2010. Three groups of patients were identified from the initial clinical and paraclinical (ultrasound). Group I involved patients with dilatation of the renal cavities associated with septic syndrome, they received analgesic treatment and empiric antibiotic therapy. Group II involved patients with dilatation of the renal cavities isolated, without fever, they received only analgesic treatment. Group III involved patients without dilatation of the renal cavities, they received analgesic treatment and antibiotics in case of fever, and then another cause of pain was sought.
  
  
  RESULTS
  The renal colic was due to a stone in 19.4 % of cases. A urinary infection was associated in 28 % of patients. Ultrasond was sufficient to confirm the diagnosis in 96 % of cases. In 4 % of cases, MRI or low-dose CT were necessary. Therapeutic management based on analgesic treatment, associated with probabilistic antibiotherapy or adapted in case of documented infection, allowed sedation of pain in two-third of cases. In case of failure or signs of severity, the urinary diversion by a double J stent was efficient, without consequences on pregnancy issue. One stone was treated by ureteroscopy during pregnancy without complication.
  
  
  CONCLUSIONS
  The management of renal colic in pregnant woman based on ultrasound diagnosis, symptomatic treatment and urinary diversion by double J stent in case of failure therefore seemed quite sure on mother and fetus.
authors.affiliation: Service d'urologie, CHU Hôtel-Dieu, 1, place Alexis-Ricordeau, 44000 Nantes, France. Electronic address: caroline.fontaine@chu-nantes.fr.
authors.forename: C
authors.initials: C
authors.lastname: Fontaine-Poitrineau
authors.affiliation: Service d'urologie, CHU Hôtel-Dieu, 1, place Alexis-Ricordeau, 44000 Nantes, France.
authors.forename: J
authors.initials: J
authors.lastname: Branchereau
authors.affiliation: Service d'urologie, CHU Hôtel-Dieu, 1, place Alexis-Ricordeau, 44000 Nantes, France.
authors.forename: J
authors.initials: J
authors.lastname: Rigaud
authors.affiliation: Service d'urologie, CHU Hôtel-Dieu, 1, place Alexis-Ricordeau, 44000 Nantes, France.
authors.forename: O
authors.initials: O
authors.lastname: Bouchot
authors.affiliation: Service de gynécologie-obstétrique, CHU hôpital Mère-Enfant, 1, place Alexis-Ricordeau, 44000 Nantes, France.
authors.forename: Y
authors.initials: Y
authors.lastname: Caroit-Cambazard
authors.affiliation: Service d'urologie, CHU Hôtel-Dieu, 1, place Alexis-Ricordeau, 44000 Nantes, France. Electronic address: pascal.glemain@chu-nantes.fr.
authors.forename: P
authors.initials: P
authors.lastname: Glémain
mesh_terms: D000293:Adolescent; D000328:Adult; D000700:Analgesics / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000150:complications / Q000175:diagnosis; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology* / Q000628:therapy*; D056844:Renal Colic / Q000209:etiology* / Q000628:therapy*; D012189:Retrospective Studies; D014552:Urinary Tract Infections / Q000150:complications / Q000175:diagnosis; D055815:Young Adult
chemical_list: D000700:Analgesics; D000900:Anti-Bacterial Agents
keywords: Calcul; Colique néphrétique; Grossesse; Pregnancy; Renal colic; Sonde double J; Ultrasonography; Ureteral stent; Urolithiasis; Échographie