title: [Diagnosis and treatment of symptomatic hydronephrosis in pregnancy].
abstract: Hydronephrosis in pregnancy is common in the second and third trimester. Only a few cases are symptomatic, caused by a ureteric stone or by the pregnancy itself. The clinical dilemma is when to treat and when not to treat. We propose a multidisciplinary management based on renal ultrasonography to verify hydronephrosis and renography to diagnose obstructive hydronephrosis. Obstruction with a high intra-renal pressure must be treated to avoid kidney dysfunction. Patients with pyonephrosis need immediate treatment.
authors.affiliation: jane.simonsen@rsyd.dk.
authors.forename: Jane Angel
authors.initials: JA
authors.lastname: Simonsen
authors.forename: Ole
authors.initials: O
authors.lastname: Graumann
authors.forename: Anja
authors.initials: A
authors.lastname: Toft
authors.forename: Carsten Ulrik
authors.initials: CU
authors.lastname: Henriques
authors.forename: Steen
authors.initials: S
authors.lastname: Walter
mesh_terms: D005260:Female; D021501:Flank Pain / Q000209:etiology; D006801:Humans; D006869:Hydronephrosis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000628:therapy; D011866:Radioisotope Renography; D014463:Ultrasonography; D052878:Urolithiasis / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000628:therapy