Urologic Emergencies

  • Goran Augustin


Urologic causes of acute abdominal pain in pregnancy are frequent. It is important to define the diagnosis preoperatively because the majority of urologic emergencies are treated conservatively. Physiologic ureteric dilation has right-sided predominance with more than 80% of cases, and some of these patients are operated due to the misdiagnosis of acute appendicitis in pregnancy. The most common causes of urologic emergencies are urinary tract calculi and acute pyelonephritis. Successful treatment of both conditions is nonoperative in the vast majority of patients. If the patient presents with urinary tract obstruction, it is important to determine the level and the cause of urinary tract obstruction. Modern imaging modalities help in accurate diagnosis and determination of the level of obstruction. This is important because for some causes only nonoperative or minimally invasive percutaneous or endoscopic procedures are necessary for successful resolution of obstruction. Other conditions such as renal parenchymal rupture, renal artery aneurysm rupture, or intraperitoneal bladder rupture commonly require fast invasive radiologic or operative intervention.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Goran Augustin
    • 1
    • 2
  1. 1.School of Medicine University of ZagrebZagrebCroatia
  2. 2.Department of SurgeryUniversity Hospital Centre ZagrebZagrebCroatia

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