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Acute kidney injury due to bilateral urolithiasis in pregnancy: a case report

Vineet Mishra, Bhumika Vyas, Priyankur Roy, Shaheen Hokabaj, Khushali Gandhi, Suwa Ram Saini.

Abstract
Kidney stones are very common and unfortunately do not spare the pregnant population. Anatomical and pathophysiological changes occur in the pregnant females that alter the risk for development of urolithiasis. Acute renal colic during pregnancy is associated with significant potential risks to both mother and fetus. Diagnosis is often challenging because good imaging options without radiation use are limited. Management of diagnosed urolithiasis is unique in the pregnant population and requires multi-disciplinary care. Herein, we report a case of pregnancy which occurred in a state of pre-existing bilateral renal calculi with compromised renal function which subsequently developed into acute kidney injury, and requiring definitive management in the form of PCNL after termination of pregnancy.

Key words: Acute kidney injury, PCNL, Termination of pregnancy, Urolithiasis



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