Active bleeding after kidney biopsy: Successful ultrasound‐guided direct thrombin embolization into the cortical fistula
| Autor: | Mercedes Perez Lafuente, Xavier Serres-Créixams, Carolina Montealegre, Iciar Uriarte, Jose Miguel Escudero-Fernandez, Mónica Bolufer Cardona |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Kidney medicine.diagnostic_test business.industry Fistula medicine.medical_treatment 030204 cardiovascular system & hematology medicine.disease 030218 nuclear medicine & medical imaging Nephropathy 03 medical and health sciences 0302 clinical medicine Thrombin medicine.anatomical_structure Biopsy Site Biopsy Angiography medicine Radiology Nuclear Medicine and imaging Radiology Embolization business medicine.drug |
| Zdroj: | Journal of Clinical Ultrasound. 49:390-394 |
| ISSN: | 1097-0096 0091-2751 |
| Popis: | A 27-year-old man, previously diagnosed with IgA nephropathy, was referred for native kidney biopsy. After the procedure, the patient presented active bleeding revealed by Doppler and contrast-enhanced ultrasonography at the biopsy site. Successful embolization of the cortical fistula, the focus of bleeding, was achieved using ultrasound-guided thrombin injection and confirmed by Doppler ultrasonography, contrast-enhanced ultrasonography, and CT angiography. This case report shows that contrast-enhanced ultrasonography is useful for detecting active bleeding after a solid organ biopsy. Moreover, ultrasound-guided thrombin embolization is a safe and minimally invasive treatment and an alternative to angiography-guided embolization. |
| Databáze: | OpenAIRE |
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