title: Bilateral Renal Cortical Necrosis with Chronic Renal Failure as a Result of Placenta Percreta in a Twin Pregnancy - A Case Report.
abstract: 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.
authors.affiliation: Frauenklinik, Klinikum Stuttgart, Stuttgart.
authors.forename: A
authors.initials: A
authors.lastname: Biener
authors.affiliation: Frauenklinik, Klinikum Stuttgart, Stuttgart.
authors.forename: N
authors.initials: N
authors.lastname: Klünder
keywords: placenta percreta; placenta praevia; renal failure; twin pregnancy