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Murine Bilateral Renal Lymphadenectomy
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Unexpected delayed bleeding after native renal biopsy: a case report.

Yoichi Takeuchi1, Yoshie Ojima2, Saeko Kagaya2

  • 1Division of Nephrology, Department of Medicine, Japanese Red Cross Ishinomaki Hospital, 71 Nishimichishita, Hebita, Ishinomaki, Miyagi, 986-8522, Japan. muu_tko@yahoo.co.jp.

CEN Case Reports
|November 12, 2017
PubMed
Summary

Delayed bleeding after a percutaneous native kidney biopsy is rare but can occur. This case highlights the importance of diagnosing and treating these uncommon, late-onset major complications, even days after the procedure.

Keywords:
ComplicationsGuidelinesHematomaInterventionRenal biopsy

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Area of Science:

  • Nephrology
  • Radiology
  • Interventional Radiology

Background:

  • Percutaneous native renal biopsy is a common diagnostic procedure.
  • Most bleeding complications occur within 24 hours post-biopsy.
  • Delayed major complications are infrequently reported.

Purpose of the Study:

  • To report a rare case of delayed major bleeding after percutaneous native renal biopsy.
  • To emphasize the need for vigilance in diagnosing and managing late complications.

Main Methods:

  • A case report of a patient who developed flank pain 7 days post-renal biopsy.
  • Abdominal computed tomography (CT) was used to assess hematoma and extravasation.
  • Radiological intervention was performed for treatment.

Main Results:

  • The patient presented with symptoms 7 days after the biopsy.
  • CT revealed an enlarged hematoma with active extravasation.
  • Successful treatment was achieved via radiological intervention.

Conclusions:

  • Delayed major complications, though rare, can occur after percutaneous native renal biopsy.
  • Clinicians must remain attentive to the possibility of late-onset bleeding.
  • Prompt diagnosis and radiological intervention are crucial for managing these events.