Guidelines for the treatment of nephritic colic in pregnant patients
DOI:
https://doi.org/10.35954/SM2024.43.2.8.e302Keywords:
algorithms, kidney calculi, urinary catheters, pregnancy, magnetic resonance imaging, pregnant women, ureteroscopy, urolithiasisAbstract
Introduction: renal colic is one of the most frequent causes of emergency room visits. When it occurs in a pregnant patient, it generates a diagnostic and therapeutic challenge that requires a multidisciplinary approach.
Materials and methods: a bibliographic search was carried out in the MedLine/PubMed database considering systematic literature reviews, clinical case reports, retrospective observational studies published in the last 10 years with the aim of obtaining information to create a diagnostic and therapeutic algorithm for the management of nephritic colic in pregnant women, aimed at emergency physicians, urologists and gynecologists.
Results: a total of 39 articles were obtained and analyzed, finally working on the basis of 17 texts, which are those cited.
Discussion: diagnosis is based on clinical history, physical examination, laboratory and imaging tests. Conservative initial treatment, including hydration, analgesics and antiemetics, reserving the use of antibiotics for infectious conditions. If this does not work, interventional treatment will be chosen.
Conclusions: pregnant women with renal colic are studied on the basis of humoral and imaging (ultrasound, magnetic resonance imaging and low dose computed axial tomography). The treatment is mainly conservative; in case of failure or infectious conditions, surgery is performed.
This article was approved by the Editorial Committee.
Received for review: April 2024.
Accepted for publication: July 2024.
Correspondence: Avenida 8 de Octubre 3050. CP 11300. Montevideo, Uruguay. Tel: +598 24876666 ext. 3330.
Contact e-mail: hcurosec@dnsffaa.gub.uy
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