CASE 444: FEVER in PREGNANCY, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Woman 23 yo, 28 weeks primigravida with 5 days fever and abdominal pain in  periodic crisis.

WBC=  27 k  with neutro 97% ;  CRP= 342 mg/L,  normal urine test . And clinical suspected  appendicitis.

Ultrasound of  abdomen reported 29w pregnancy and  normal status of fetus. One cystic mass retro-uterus  near left pelvis  iliac artery, was suspected  left kidney  ectopic pelvis with hydro-pyonephrosis while  right kidney is normal ( US 1, US 2, US 3, US 4).

MRI  reported  left kidney hydronephrosis due to ureter obstruction.

Emergency cystoendoscopy was done for putting  stent  to release pus out from left kidney.

Conclusion=Pregnancy with  fever due to left pyohydronephrotic kidney as obstruction of ureter.

Reference :

http://www.bjuinternational.com/case-studies/hydronephrosis-pregnancy-ectopic-pelvic-kidney/