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Iwasaki S, Hamada K, Takahashi K, Takahashi M, Mizuno E, Mizukami N, Yamakage M. Epidural analgesia for the treatment of colic attack with retrocaval ureter in late pregnancy complicated with marginal placenta previa: a case report. JA Clin Rep 2019; 5:52. [PMID: 32026019 PMCID: PMC6966975 DOI: 10.1186/s40981-019-0271-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2019] [Accepted: 07/31/2019] [Indexed: 11/10/2022] Open
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.
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Affiliation(s)
- Soshi Iwasaki
- Department of Anesthesiology, Sapporo Medical University, South1, West16, Chuo-ku, Sapporo City, Hokkaido, Japan. .,Ain Holdings and Nitori Holdings Department of Palliative Medicine, Sapporo Medical University, South1, West16, Chuo-ku, Sapporo City, Hokkaido, Japan.
| | - Kohsuke Hamada
- Department of Anesthesiology, Sapporo Medical University, South1, West16, Chuo-ku, Sapporo City, Hokkaido, Japan
| | - Kazunobu Takahashi
- Department of Anesthesiology, Sapporo Medical University, South1, West16, Chuo-ku, Sapporo City, Hokkaido, Japan
| | - Mika Takahashi
- Department of Anesthesiology, Sapporo Medical University, South1, West16, Chuo-ku, Sapporo City, Hokkaido, Japan
| | - Eri Mizuno
- Department of Anesthesiology, Sapporo Medical University, South1, West16, Chuo-ku, Sapporo City, Hokkaido, Japan
| | - Naomi Mizukami
- Department of Anesthesiology, Sapporo Medical University, South1, West16, Chuo-ku, Sapporo City, Hokkaido, Japan
| | - Michiaki Yamakage
- Department of Anesthesiology, Sapporo Medical University, South1, West16, Chuo-ku, Sapporo City, Hokkaido, Japan.,Ain Holdings and Nitori Holdings Department of Palliative Medicine, Sapporo Medical University, South1, West16, Chuo-ku, Sapporo City, Hokkaido, Japan
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Shajudeen PMS, Righetti R. Spine surface detection from local phase‐symmetry enhanced ridges in ultrasound images. Med Phys 2017; 44:5755-5767. [DOI: 10.1002/mp.12509] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2017] [Revised: 05/29/2017] [Accepted: 06/23/2017] [Indexed: 11/08/2022] Open
Affiliation(s)
| | - Raffaella Righetti
- Department of Electrical and Computer Engineering Texas A&M University College Station TX 77840 USA
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