Open AccessFoetal Ureteric Calculus Producing Hydronephrosis and Hydroureter
Author(s) -
Ashok Kumar Todani,
Kiranlata Todani
Publication year - 2020
Publication title -
journal of obstetrics and gynecology of india
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.313
H-Index - 17
eISSN - 0971-9202
pISSN - 0975-6434
DOI - 10.1007/s13224-020-01312-w
Subject(s) - hydroureter , medicine , hydronephrosis , calculus (dental) , nephrocalcinosis , urinary system , urinary tract obstruction , etiology , ureter , amniotic fluid , urology , fetus , pregnancy , kidney , pathology , dentistry , biology , genetics
Dilatation of foetal urinary collecting system is common. But cause of obstruction, if any, arise from soft tissues or developmental abnormalities of urinary tract or other paradox. A prenatal diagnosis of a 'calculus' inside ureter producing obstruction and ultimate back pressure changes in collecting system of a foetus is not reported so far. Other than inborn error of metabolism, what aetiological factors lead to this, are a matter of concern and great research. Here kidneys are not dysplastic. Amniotic fluid volume remains normal. Antenatal administration of calcium either orally or parenterally could be a contributory factor as it promotes nephrocalcinosis; and uretric calculus has it's origin in kidneys as believed. There is no maternal symptom related to this entity. Here we report a unique case of foetal ureterolithiasis producing hydroureter and hydronephrosis.