Perinephric hematoma following renal biopsy: A case report and literature review
Autor: | Nambakam Tanuja Subramanyam, Girish P Vakrani, Hareesh Babu |
---|---|
Rok vydání: | 2015 |
Předmět: |
Nephrology
medicine.medical_specialty medicine.medical_treatment Automated renal biopsy gun ultrasound guided renal biopsy lcsh:Medicine urologic and male genital diseases Perinephric Hematoma Internal medicine Biopsy medicine perinephric hematoma Percutaneous Renal Biopsy medicine.diagnostic_test Plasma expander transfusion business.industry lcsh:R General Medicine Omics Hemostatics Surgery Radiology Renal biopsy Hemodialysis Complication business |
Zdroj: | Saudi Journal of Medicine and Medical Sciences, Vol 3, Iss 2, Pp 158-160 (2015) |
ISSN: | 1658-631X |
DOI: | 10.4103/1658-631x.156432 |
Popis: | Background: The risks associated with performing a percutaneous renal biopsy have substantially decreased in the past two decades because of technical advances in the method. However, bleeding complications still occur, resulting in increased hospital stay, treatment costs and even mortality. Objective: The purpose of this case reporting is to discuss about life threatening complication like perinephric hematoma following a renal biopsy in a high risk patient with severe renal failure. Methods: The clinical, radiological findings, prognosis of a massive perinephric hematoma following a renal biopsy in a high risk patient with severe renal failure are discussed. Results: We report a case of 39 year old, male, non-diabetic, hypertensive since 5 years who presented with unexplained severe renal failure. After dialyzing adequately, he was subjected to right renal biopsy using real time ultrasound guided automated renal biopsy gun. Post biopsy was uneventful, until 72 hours when he developed massive right perinephric hematoma following a heparin-free hemodialysis. He continued to be hypotensive despite hemostatics, blood products, and plasma expander transfusion. Unfortunately, he expired before definitive management like renal angiogram and intervention was attempted. Conclusions: To the best of our knowledge, this is one of few reports of the occurrence of life threatening complication like perinephric hematoma in a patient with severe renal failure on heparin free hemodialysis 72 hours following a renal biopsy. |
Databáze: | OpenAIRE |
Externí odkaz: |