Epidural analgesia for the treatment of colic attack with retrocaval ureter in late pregnancy complicated with marginal placenta previa: a case report
Abstract Background Retrocaval ureter was diagnosed in a woman complaining of ureteric pain in the last trimester of pregnancy. We describe the rationale behind the administration of epidural analgesia for her colic attack. Case presentation A 41-year-old pregnant woman was hospitalized with a diagn...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2019-08-01
|
| Series: | JA Clinical Reports |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40981-019-0271-9 |
| _version_ | 1818603748710154240 |
|---|---|
| author | Soshi Iwasaki Kohsuke Hamada Kazunobu Takahashi Mika Takahashi Eri Mizuno Naomi Mizukami Michiaki Yamakage |
| author_facet | Soshi Iwasaki Kohsuke Hamada Kazunobu Takahashi Mika Takahashi Eri Mizuno Naomi Mizukami Michiaki Yamakage |
| author_sort | Soshi Iwasaki |
| collection | DOAJ |
| description | Abstract Background Retrocaval ureter was diagnosed in a woman complaining of ureteric pain in the last trimester of pregnancy. We describe the rationale behind the administration of epidural analgesia for her colic attack. Case presentation A 41-year-old pregnant woman was hospitalized with a diagnosis of a marginal placenta previa at 34 weeks and 5 days of pregnancy. Her right ureter encircled the dorsal aspect of the inferior vena cava (IVC) and was compressed by a growing fetus, causing hydronephrosis. Her right lower back pain was exacerbated every day, till an epidural catheter was inserted. Her estimated glomerular filtration rate (eGFR) and hematocrit worsened, and an elective cesarean section was performed. Conclusion Epidural analgesia only provided pain relief for a few days. When a pregnant woman presents with a retrocaval ureter and severe pain, short-term epidural analgesia should be considered after evaluating the complex medical condition and size of the fetus. |
| first_indexed | 2024-12-16T13:28:06Z |
| format | Article |
| id | doaj.art-31ce60302d4a41cc908a0c46bb1dd790 |
| institution | Directory Open Access Journal |
| issn | 2363-9024 |
| language | English |
| last_indexed | 2024-12-16T13:28:06Z |
| publishDate | 2019-08-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | JA Clinical Reports |
| spelling | doaj.art-31ce60302d4a41cc908a0c46bb1dd7902022-12-21T22:30:09ZengSpringerOpenJA Clinical Reports2363-90242019-08-01511410.1186/s40981-019-0271-9Epidural analgesia for the treatment of colic attack with retrocaval ureter in late pregnancy complicated with marginal placenta previa: a case reportSoshi Iwasaki0Kohsuke Hamada1Kazunobu Takahashi2Mika Takahashi3Eri Mizuno4Naomi Mizukami5Michiaki Yamakage6Department of Anesthesiology, Sapporo Medical UniversityDepartment of Anesthesiology, Sapporo Medical UniversityDepartment of Anesthesiology, Sapporo Medical UniversityDepartment of Anesthesiology, Sapporo Medical UniversityDepartment of Anesthesiology, Sapporo Medical UniversityDepartment of Anesthesiology, Sapporo Medical UniversityDepartment of Anesthesiology, Sapporo Medical UniversityAbstract Background Retrocaval ureter was diagnosed in a woman complaining of ureteric pain in the last trimester of pregnancy. We describe the rationale behind the administration of epidural analgesia for her colic attack. Case presentation A 41-year-old pregnant woman was hospitalized with a diagnosis of a marginal placenta previa at 34 weeks and 5 days of pregnancy. Her right ureter encircled the dorsal aspect of the inferior vena cava (IVC) and was compressed by a growing fetus, causing hydronephrosis. Her right lower back pain was exacerbated every day, till an epidural catheter was inserted. Her estimated glomerular filtration rate (eGFR) and hematocrit worsened, and an elective cesarean section was performed. Conclusion Epidural analgesia only provided pain relief for a few days. When a pregnant woman presents with a retrocaval ureter and severe pain, short-term epidural analgesia should be considered after evaluating the complex medical condition and size of the fetus.http://link.springer.com/article/10.1186/s40981-019-0271-9Retrocaval ureterHydronephrosisLate pregnancyEpidural analgesiaPlacenta previaFlank pain |
| spellingShingle | Soshi Iwasaki Kohsuke Hamada Kazunobu Takahashi Mika Takahashi Eri Mizuno Naomi Mizukami Michiaki Yamakage Epidural analgesia for the treatment of colic attack with retrocaval ureter in late pregnancy complicated with marginal placenta previa: a case report JA Clinical Reports Retrocaval ureter Hydronephrosis Late pregnancy Epidural analgesia Placenta previa Flank pain |
| title | Epidural analgesia for the treatment of colic attack with retrocaval ureter in late pregnancy complicated with marginal placenta previa: a case report |
| title_full | Epidural analgesia for the treatment of colic attack with retrocaval ureter in late pregnancy complicated with marginal placenta previa: a case report |
| title_fullStr | Epidural analgesia for the treatment of colic attack with retrocaval ureter in late pregnancy complicated with marginal placenta previa: a case report |
| title_full_unstemmed | Epidural analgesia for the treatment of colic attack with retrocaval ureter in late pregnancy complicated with marginal placenta previa: a case report |
| title_short | Epidural analgesia for the treatment of colic attack with retrocaval ureter in late pregnancy complicated with marginal placenta previa: a case report |
| title_sort | epidural analgesia for the treatment of colic attack with retrocaval ureter in late pregnancy complicated with marginal placenta previa a case report |
| topic | Retrocaval ureter Hydronephrosis Late pregnancy Epidural analgesia Placenta previa Flank pain |
| url | http://link.springer.com/article/10.1186/s40981-019-0271-9 |
| work_keys_str_mv | AT soshiiwasaki epiduralanalgesiaforthetreatmentofcolicattackwithretrocavalureterinlatepregnancycomplicatedwithmarginalplacentapreviaacasereport AT kohsukehamada epiduralanalgesiaforthetreatmentofcolicattackwithretrocavalureterinlatepregnancycomplicatedwithmarginalplacentapreviaacasereport AT kazunobutakahashi epiduralanalgesiaforthetreatmentofcolicattackwithretrocavalureterinlatepregnancycomplicatedwithmarginalplacentapreviaacasereport AT mikatakahashi epiduralanalgesiaforthetreatmentofcolicattackwithretrocavalureterinlatepregnancycomplicatedwithmarginalplacentapreviaacasereport AT erimizuno epiduralanalgesiaforthetreatmentofcolicattackwithretrocavalureterinlatepregnancycomplicatedwithmarginalplacentapreviaacasereport AT naomimizukami epiduralanalgesiaforthetreatmentofcolicattackwithretrocavalureterinlatepregnancycomplicatedwithmarginalplacentapreviaacasereport AT michiakiyamakage epiduralanalgesiaforthetreatmentofcolicattackwithretrocavalureterinlatepregnancycomplicatedwithmarginalplacentapreviaacasereport |