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A 25-year-old female patient developed disseminated intravascular coagulation and multi-organ failure secondary to the amniotic fluid embolism after a complicated C/S. Coronal plane postcontrast abdominal CT image showed hypoenhancing renal cortices (arrows) with accompanying medullary enhancement (asterisks), the so-called reverse rim sign, in bilateral kidneys. Imaging findings were found to be consistent with renal cortical necrosis
