Re: MRI in pregnancy

From: Steve & Eryl Raymond (eryl@intekom.co.za)
Sat Mar 31 02:19:34 2001


Why would you want to recommend termination? What you are seeing and describing is normal. Provided renal function tests remain normal do nothing. Steve Raymond

I've been involved with a patient that in 3 out of 4 (4 out of 5 now... I wasn't in the last pregnancy care) there were severe hydronephorsis problems - usually resulting in multiple stent procedures - she was an RN who refused any percutaneous nephrostomies. I have seen articles that have suggested that the hydronephrosis is due to ovarian veins compressing the ureters. It has been suggested to ligate the veins with

resultant relief of the problem. Our patient's problems (in second and subsequent pregnancies) began by the late first trimester - before the uterus couls be the compression force.

We never had the liberty of MRI - so I am not answering that part of your question. But it sounds like this patient.

Joanne

At Fri, 30 Mar 2001, Belal Hossain wrote: >
>Dear Listed Personalities
>Here is a case history for your opinion.21.y.o P1001,11w3d ,usg reports
mild >hydronephrosis with dilated upper ureter left side,no focal sol or
calculi. >Immediately referred to a urosurgeon, repeat usg next day from a senior
Sono >reports moderate dilatation of pelvi-calyceal system with a small
echogenic >seen in upper third of left ureter;not sure of any calculi.Blood and
urine >analysis on Renal profile are WNL(within normal limits).Mom strongly
refuses >termination.Urologist didn't comment on cystoscopy,suggests for MRI.I
>disagree.Your opinion pl.
>Dr B Hossain MD
>Group Practice
>Kolaghat
>India
>





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