Abstract
Introduction
Insertion of a percutaneous nephrostomy (PCN) catheter decompresses the upper urinary tract, thereby removing the hydroureteronephrosis upon which magnetic resonance (MR) urography is dependent for diagnosing the precise level and cause of ureteric obstruction.
Method
We present the case of a young woman who required PCN insertion during pregnancy.
Result
Only when unenhanced T2-weighted MR urography was repeated after the creation of an artificial hydronephrosis by an injection of sterile saline via the PCN catheter was the diagnosis of stone in the mid-ureter later made possible.
Conclusion
This case highlights an easy solution to a limitation with the use of MR urography during pregnancy, when a physiological hydroureteronephrosis has been relieved by the insertion of a PCN catheter.
References
Maikranz P, Lindheimer M, Coe F (1994) Nephrolithiasis in pregnancy. Baillieres Clin Obstet Gynaecol 8(2):375–386. doi:10.1016/S0950-3552(05)80326-8
International Commission on Radiological Protection (2000) Pregnancy and medical radiation. Ann ICRP 30(1): iii–viii, 1–43
Nolte-Erninsting CC, Adam GB, Gunther RW (2001) MR urography: examination techniques and clinical applications. Eur Radiol 11(3):355–372. doi:10.1007/s003300000685
Louca G, Liberpoulos K, Fidas A, Nikolakopoulou Z, Lykourinas M, Strigaris K (1999) MR urography in the diagnosis of urinary tract obstruction. Eur Urol 35(2):102–108. doi:10.1159/000019827
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Connolly, S.S., Browne, L.P., Collins, C.D. et al. Artificial hydroureteronephrosis to facilitate MR urography during pregnancy. Ir J Med Sci 178, 83–84 (2009). https://doi.org/10.1007/s11845-009-0289-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11845-009-0289-5