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Diagnose og behandling af symptomgivende hydronefrose i graviditeten

Forfatter(e)
Jane Angel Simonsen1, Ole Graumann2, Anja Toft3, Carsten Ulrik Henriques4 & Steen Walter3 1) Nuklearmedicinsk Afdeling, Odense Universitetshospital 2) Røntgen og Skanning, Aarhus Universitetshospital 3) Urologisk Afdeling, Odense Universitetshospital 4) Center for Føtal-medicin og Graviditet, Juliane Marie Centret, Rigshospitalet Ugeskr Læger 2015;177:V06140360
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Ugeskr Læger 2015;177:V06140360
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2-6
Diagnosis and treatment of symptomatic hydronephrosis in pregnancy
Hydronephrosis in pregnancy is common in the second and third trimester. Only a few cases are symptomatic, caused by a ureteric stone or by the pregnancy itself. The clinical dilemma is when to treat and when not to treat. We propose a multidisciplinary management based on renal ultrasono­graphy to verify hydronephrosis and renography to diagnose obstructive hydronephrosis. Obstruction with a high intra­renal pressure must be treated to avoid kidney dysfunction. Patients with pyonephrosis need immediate treatment.
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