51. Acute maternal obstructive renal failure in a twin gestation despite normal physiological pregnancy-induced urinary tract dilation
- Author
-
Pak H. Chung, Dianne M. Edgar, David M. Sherer, and Jacques S. Abramowicz
- Subjects
Adult ,medicine.medical_specialty ,Polyhydramnios ,Urinary system ,Twins ,urologic and male genital diseases ,Nephropathy ,Pregnancy ,Internal medicine ,medicine ,Humans ,Urinary Tract ,Obstructive uropathy ,Twin Pregnancy ,business.industry ,Obstetrics and Gynecology ,Acute Kidney Injury ,medicine.disease ,Surgery ,Pregnancy Complications ,Pediatrics, Perinatology and Child Health ,Cardiology ,Gestation ,Female ,Pregnancy, Multiple ,business ,Complication ,Dilatation, Pathologic - Abstract
Obstructive renal failure due to an overdistended uterus is a very rare complication of pregnancy. Most previously reported cases have involved twin gestations, the majority occurring in the presence of polyhydramnios. We describe a patient with a twin gestation who developed acute obstructive renal failure despite only very mild physiological pregnancy-induced dilation of the urinary collecting system in the absence of polyhydramnios. This case suggests that acute obstructive uropathy should be considered as a rare cause of acute renal failure even in cases with seemingly normal pregnancy-induced physiological urinary tract dilation.
- Published
- 1994