Urolithiasis in pregnancy

24 years old lady with 27 weeks pregnancy presented with rt flank pain of 7 days duration.. severe..colicky..no radiation..

1episode of fever 3days back.. settled with antibiotics....
Dysuria for 3 days... settled now..
Urine routine is normal
Blood count ...normal
Blood chemistry...creatine .7
Usg showing...8mm mid ureteric stone on rt side..grade 2 (Report only available)
Kindly enlightened on philosophy of management in regard to gestational age in these patients??


  • Nitesh Jain
    Nitesh Jain
    20 May 2020 08:17:50 PM

    patient is still in second trimester which is the ideal time for intervention, as the patient had severe pain with fever will do a URS and remove the stone / stent if pus... patient shoud be counseled about outside chance of abortion

  • Pankaj N Maheshwari
    Pankaj N Maheshwari
    21 May 2020 07:34:58 PM

    Although directly unrelated to the case, I found this interesting flow diagram depicting evaluation of calculi in pregnancy.

  • Tikenjit Mazumdar
    Tikenjit Mazumdar
    25 May 2020 11:08:51 PM

    Excellent sir..thank u

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