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Pulsatile Hematuria From Procurement Core Needle Biopsy: A Case Report.
Y K Kwon1, F A Cheema2, J R Wagner3
1Department of Transplant, Hartford Hospital, Hartford, CT.
A core needle biopsy of a kidney allograft caused pulsatile hematuria, requiring emergent coil embolization. This highlights a rare but serious complication of routine kidney transplant evaluation.
Area of Science:
- Nephrology
- Transplant Surgery
- Interventional Radiology
Background:
- Core needle biopsies are standard for assessing kidney allograft suitability.
- Procurement biopsies are performed before transplantation.
Observation:
- A patient experienced pulsatile hematuria immediately after kidney allograft reperfusion.
- The hematuria originated from the procurement core needle biopsy site.
Findings:
- The complication necessitated urgent intervention.
- Coil embolization was successfully performed by interventional radiology.
Implications:
- This case underscores the potential risks associated with kidney allograft biopsies.
- It emphasizes the need for vigilance and prompt management of post-biopsy complications.
- Highlights the critical role of interventional radiology in managing transplant-related bleeding events.
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