Bilateral Renal Cortical Necrosis with Chronic Renal Failure as a Result of Placenta Percreta in a Twin Pregnancy - A Case Report - Publication

Publication

Bilateral Renal Cortical Necrosis with Chronic Renal Failure as a Result of Placenta Percreta in a Twin Pregnancy - A Case Report

Journal Paper/Review - Nov 26, 2012

Biener Andrea, Klünder N

Citation

Biener A, Klünder N. Bilateral Renal Cortical Necrosis with Chronic Renal Failure as a Result of Placenta Percreta in a Twin Pregnancy - A Case Report. Geburtshilfe Frauenheilkd 2012; 72:1033-1035.

Type

Journal Paper/Review (English)

Journal

Geburtshilfe Frauenheilkd 2012; 72

Publication Date

Nov 26, 2012

Issn Print

0016-5751

Pages

1033-1035

Brief description/objective

A 22-year-old gravida II, para I, with a twin pregnancy was diagnosed with placenta praevia totalis et percreta in 25 GW. After consideration of various modes of delivery a C-section was performed with retention of the placenta percreta in situ when vaginal bleeding occured in 28 GW. Following 8 dosages of methotrexate given on an outpatient basis, the patient suddenly developed acute renal failure necessitating dialysis. This was due to a bilateral renal cortical necrosis after disseminated intravasal coagulation based on a massive accumulation of trophoblastic tissue.