title: Renal failure of the surviving fetus after intrauterine death of the co-twin.
abstract: Twin pregnancies are considered at a higher risk for fetal mortality than singleton pregnancies. The antenatal death of one of the twins is associated with an increasing rate of cerebral impairment and lesions in other organs in the surviving fetus, especially if the pregnancy is monochorionic. We describe a case of isolate renal failure becoming evident gradually after birth in a surviving twin after the antenatal death of the co-twin. Considering the deleterious effects of vascular disruption in a surviving twin, our findings suggest careful investigation of renal function, even if no intrauterine signs of diminished renal function were previously detected.
authors.affiliation: Department of Paediatrics, Catholic University, Division of Neonatology, Rome, Italy.
authors.forename: Carmen
authors.initials: C
authors.lastname: Giannantonio
authors.forename: Carla Maria
authors.initials: CM
authors.lastname: Semeraro
authors.forename: Maria
authors.initials: M
authors.lastname: Fioretti
authors.forename: Anna
authors.initials: A
authors.lastname: Molisso
authors.forename: Alessandra
authors.initials: A
authors.lastname: Lio
authors.forename: Francesca
authors.initials: F
authors.lastname: Gallini
authors.forename: Patrizia
authors.initials: P
authors.lastname: Papacci
authors.forename: Costantino
authors.initials: C
authors.lastname: Romagnoli
mesh_terms: D000328:Adult; D004200:Diseases in Twins / Q000209:etiology* / Q000473:pathology; D005260:Female; D005313:Fetal Death; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications; D011256:Pregnancy Outcome; D059285:Pregnancy, Twin; D051437:Renal Insufficiency / Q000209:etiology* / Q000473:pathology; D017741:Survivors; D014429:Twins, Dizygotic; D014430:Twins, Monozygotic