Control of post renal biopsy hemorrhage by Gelfoam embolization

A patient with severe and protracted post renal biopsy hemorrhage is presented. The bleeding site was identified by renal arteriography and the hematuria was promptly controlled by Gelfoam embolization of the artery leading directly to the bleeding site. This aggressive approach should be considered early to control hematuria and expanding perirenal hematomas in selected cases of protracted post renal biopsy hemorrhage.