Clinical-Epidemiological Characterization of Pregnant Women with Renal Colic

Abstract

Introduction: Renal colic is an urological emergency, related to acute, partial or complete ureteral obstructions, usually due to the presence of a stone. In pregnancy it is difficult to evaluate its incidence; that is proposed, is around 0.49%, similar to the general female population.

Objective: To characterize the pregnant women treated with a diagnosis of renal colic.

Methods: Descriptive, retrospective study, which included 17 pregnant women, who were admitted to the "Dr. Luis Díaz Soto" Hospital, between was carried out from March 2018 to October 2023, with a diagnosis of renal colic. The variables used were age, personal pathological history, trimester of pregnancy, parity, symptoms, results of the studies performed and response to treatment.

Results: 47.05% were in the age group of 30-39 years. 64.7% had anemia, 41.1% had urinary tract infection and 35.2% had obesity. 64.7% were multiparous and 47.05% were in the second trimester of pregnancy. The most frequent symptoms were general malaise (52.9%), and nausea and vomiting with 23.5%. The ultrasound showed alterations in 76.4% of the patients, and 88.2% progressed favorably with conservative medical treatment.

Conclusions: The symptoms and signs, and also the performance of the ultrasound, constitute the most important elements to establish the diagnosis of nephrolithiasis in pregnant women with renal colic. The evolution was favorable in most cases with conservative management.