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Case Reports in Medicine
Volume 2018, Article ID 8596491, 3 pages
https://doi.org/10.1155/2018/8596491
Case Report

Antenatal Spontaneous Renal Forniceal Rupture Presenting as an Acute Abdomen

1Department of Obstetrics and Gynecology, Washington University School of Medicine, St. Louis, MO, USA
2Division of Maternal-Fetal Medicine and Ultrasound, Department of Obstetrics and Gynecology, Washington University School of Medicine, St. Louis, MO, USA

Correspondence should be addressed to Omar M. Young; ude.ltsuw@mognuoy

Received 28 December 2017; Accepted 27 March 2018; Published 10 April 2018

Academic Editor: Georgios D. Kotzalidis

Copyright © 2018 Jennifer Travieso and Omar M. Young. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Renal forniceal rupture is a lesser-known cause of acute abdomen in pregnancy. The ureteral compression by the gravid uterus places pregnant women at a higher risk. Sequelae in pregnancy could include intractable pain, acute kidney injury, and preterm birth. Case. A 22-year-old primigravida with no prior medical history presented with an acute abdomen in her second trimester. The diagnosis of renal forniceal rupture was made by a radiologist using MRI. A percutaneous nephrostomy catheter was placed, and the patient’s pain was relieved. She subsequently delivered at term. Conclusion. Upon presentation of an acute abdomen in pregnancy, providers may not include renal forniceal rupture in their differential as readily as obstetric or gynecologic causes, resulting in delayed diagnosis, unnecessary invasive interventions, and potentially adverse maternal and neonatal outcomes. Increasing provider awareness could result in improved outcomes.