Postoperative and Recurrent Hematuria after Pretransplant Core Needle Biopsy in Living Donor Kidney Transplant
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Updated: Sep 2, 2025

Murine Kidney Transplant Technique
Published on: October 20, 2015
Yazan Al-Adwan1, Navdeep Singh1, Pranit N Chotai1
1Division of Transplantation, The Comprehensive Transplant Center, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Background:
Core needle and wedge biopsies are the two main pathologic ways to determine the suitability of a kidney allograft and to have a baseline allograft biopsy in case of future rejection. Case Presentation. A 57-year-old patient developed a renal arteriovenous fistula causing postoperative and recurrent hematuria after allograft pretransplant renal core needle biopsy and treated with selective Interventional radiology coil embolization.
Conclusion:
Delayed profound hematuria can be seen after pretransplant core needle renal biopsies and can recur again even after complete resolution, due to arteriovenous fistula formation in the renal calyceal system.
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