Re: Etiology of right sided hydronephrosis in pregnancy

From: Orlando Ultrasound (orlandoultrasound@hotmail.com)
Thu Apr 28 12:52:59 2005


 

COULD THIS BE DUE TO MORE COMPRESSION ON THE RIGHT SIDE, BEING AS THE LIVER IS LARGER THUS SLIGHTLY DISPLACING THE RIGHT RENAL INFERIORLY. WITH THE MORE INFERIOR PLACEMENT OF THE RIGHT KIDNEY, AND THE INCREASING UTERINE SIZE, THE RT URETER AND THE UTERUS MEET SOONER THAN THE LEFT WITH MORE PRESSURE FROM THE SUPERIOR ASPECT OF THE LIVER ???

KEVIN




 
Doug Marcum BA,RDMS,RDCS,RVT(APS)
Kevin Snider RDMS,RDCS,RVT
Chad Hall RDMS, RDCS, RVT
Orlando Ultrasound Associates, Inc.
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>From: "DuBose, Terry" <DuboseTerryJ@uams.edu> >Reply-To: ultrasound@obgyn.net >To: Multiple recipients of list ULTRASOUND <ultrasound@dns.obgyn.net> >Subject: Etiology of right sided hydronephrosis in pregnancy >Date: Thu, 28 Apr 2005 10:13:52 -0500 > >I need some help finding an explanation of why maternal hydronephrosis >is more common on the right side than the left. > > > >Seems I read somewhere, years ago, that it has to do with the left iliac >artery protecting the left ureter from compression, while the right >iliac is more midline and the uterus can compress the right ureter. I >found the following abstract, but unfortunately do not have access to >the electronic version... and will not be able to get to the library >this week. I doubt it will explain the etiology anyway. > > > >Anyone have a reference or good explanation for this phenomenon? > > > >Thanks, Terry > > > >Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM > >Associate Professor & Director >Diagnostic Medical Sonography Program >University of Arkansas for Medical Sciences, CHRP >4301 West Markham St. Mail Slot #563 >Little Rock, Arkansas, 72205 USA >501-686-6510 >DuBoseTerryJ@UAMS.edu >http://www.io.com/~dubose/ >http://www.uams.edu/chrp/dms/default.asp >http://www.obgyn.net/us/panel/panel.htm >--------------------------------------------------------------- > >Authors > > Eckford SD. Gingell JC. > >Institution > > Department of Obstetrics, Southmead Hospital, Bristol. > >Title > > Ureteric obstruction in pregnancy--diagnosis and management. > >Source > > British Journal of Obstetrics & Gynaecology. 98(11):1137-40, 1991 >Nov. > >Local Messages > > All @ UAMS > >Abstract > > OBJECTIVE--To discuss the aetiology, diagnosis and management of >ureteric obstruction in pregnancy and to describe the use of >double-pigtail ureteric stents in a series of 10 patients. >DESIGN--Retrospective study of women presenting to a maternity unit in >whom the diagnosis of ureteric obstruction is reached. >SETTING--Southmead Hospital in Bristol; a large district general >hospital with a throughput of around 6000 maternity patients per year. >SUBJECTS--10 women (8 in their first pregnancy, 1 in her second and 1 in >her third; mean age 29.2 years (range 18-31 years). >INTERVENTIONS--Double-pigtail ureteric stents were electively passed >after a diagnosis of ureteric obstruction. it will explain the etiology anyway. > > > >Anyone have a reference or good explanation for this phenomenon? > > > >Thanks, Terry > > > >Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM > >Associate Professor & Director >Diagnostic Medical Sonography Program >University of Arkansas for Medical Sciences, CHRP >4301 West Markham St. Mail Slot #563 >Little Rock, Arkansas, 72205 USA >501-686-6510 >DuBoseTerryJ@UAMS.edu >http://www.io.com/~dubose/ >http://www.uams.edu/chrp/dms/default.asp >http://www.obgyn.net/us/panel/panel.htm >--------------------------------------------------------------- > >Authors > > Eckford SD. Gingell JC. > >Institution > > Department of Obstetrics, Southmead Hospital, Bristol. > >Title > > Ureteric obstruction in pregnancy--diagnosis and management. > Stents remained in situ for a >mean 15.5 weeks (range 8-25 weeks) and were electively removed 4-6 weeks >post partum. RESULTS--Nine women progressed uneventfully through the >remainder of their pregnancy. One developed strangury, haematuria and >discomfort after stent insertion. Seven women had normal vaginal >deliveries, two assisted vaginal deliveries and one was delivered by >caesarean section. None required to have external urinary drainage. >CONCLUSIONS--Double-pigtail ureteric stents are easy to place and remove >and are well tolerated. They provide a simple, safe and effective method >of internal upper urinary tract drainage in ureteric obstruction in >pregnancy. > > > > > > >Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and it will explain the etiology anyway. > > > >Anyone have a reference or good explanation for this phenomenon? > > > >Thanks, Terry > > > >Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM > >Associate Professor & Director >Diagnostic Medical Sonography Program >University of Arkansas for Medical Sciences, CHRP >4301 West Markham St. Mail Slot #563 >Little Rock, Arkansas, 72205 USA >501-686-6510 >DuBoseTerryJ@UAMS.edu >http://www.io.com/~dubose/ >http://www.uams.edu/chrp/dms/default.asp >http://www.obgyn.net/us/panel/panel.htm >--------------------------------------------------------------- > >Authors > > Eckford SD. Gingell JC. > >Institution > > Department of Obstetrics, Southmead Hospital, Bristol. > >Title > > Ureteric obstruction in pregnancy--diagnosis and management. > privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. >



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