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Case Reports in Nephrology
Volume 2015, Article ID 379061, 3 pages
http://dx.doi.org/10.1155/2015/379061
Case Report

Spontaneous Forniceal Rupture in Pregnancy

1Department of Nephrology/Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, NY 10461, USA
2Department of Obstetrics and Gynecology, Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, NY 10461, USA

Received 6 December 2014; Accepted 22 December 2014

Academic Editor: Yoshihide Fujigaki

Copyright © 2015 Roshni Upputalla et al. 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

Forniceal rupture is a rare event in pregnancy. We report a case of a 26-year-old primigravid woman who experienced a forniceal rupture at 23 weeks of gestation with no inciting cause except for pregnancy. Pregnancy is associated with ureteral compression due to increase in pelvic vasculature with the right ureter more dilated due to anatomic reasons. Hormones such as prostaglandins and progesterone render the ureter more distensible to allow for pressure build-up and an obstructive picture at the collecting system. We will discuss physiologic changes in pregnancies that predispose to this uncommon phenomenon and the most up-to-date management strategies.