Am J Perinatol 1994; 11(3): 242-244
DOI: 10.1055/s-2008-1040755
ORIGINAL ARTICLE

© 1994 by Thieme Medical Publishers, Inc.

Acute Maternal Obstructive Renal Failure in a Twin Gestation Despite Normal Physiological Pregnancy-Induced Urinary Tract Dilation

Pak H. Chung, Jacques S. Abramowicz, Dianne M. Edgar, David M. Sherer
  • Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Strong Memorial Hospital, The University of Rochester School of Medicine and Dentistry, Rochester, New York
Further Information

Publication History

Publication Date:
04 March 2008 (online)

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.