IMR Press / CEOG / Volume 44 / Issue 4 / DOI: 10.12891/ceog2034.2017

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report
Bilateral rupture of the renal pelvis as a complication of placental abruption in multiparous female
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1 Department of Obstetrics and Gynecology, Yangsan Pusan National University School of Medicine, Pusan, Korea
Clin. Exp. Obstet. Gynecol. 2017, 44(4), 613–615; https://doi.org/10.12891/ceog2034.2017
Published: 10 August 2017
Abstract
A non-traumatic rupture of renal pelvis during pregnancy is an extremely rare complication. The authors report a case of bilateral rupture of the renal pelvis in a multiparous female who underwent emergency cesarean section during vaginal birth after previous cesarean section, owing to abrupt and massive vaginal bleeding and prolonged fetal late deceleration. During surgery, a disproportionately enlarged uterus was noted and postoperatively severe oliguria was complicated with a sustainable amount of packed RBCs transfusion. CT revealed extravasation of contrast media around bilateral perinephric space. Treatment course and review of the cause of renal pelvis rupture is discussed along with literature study.
Keywords
Placental abruption
Kidney pelvis
Cesarean section
Vaginal birth after cesarean
Extravasation
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