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Arteriovenous fistula-related renal bleeding 5 days after percutaneous renal biopsy

A 32-year-old Japanese woman was admitted to our hospital for evaluation of microscopic hematuria with a positive family history. Percutaneous renal biopsy was performed under real-time ultrasound guidance using a 16-gauge automated needle and three specimens were obtained. She had no risk factors f...

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Autores principales: Shima, Natsuki, Hayami, Noriko, Mizuno, Hiroki, Kawada, Masahiro, Sekine, Akinari, Sumida, Keiichi, Hiramatsu, Rikako, Yamanouchi, Masayuki, Hasegawa, Eiko, Suwabe, Tatsuya, Hoshino, Junichi, Sawa, Naoki, Takaichi, Kenmei, Ohashi, Kenichi, Fujii, Takeshi, Minota, Seiji, Ubara, Yoshifumi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Singapore 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6820813/
https://www.ncbi.nlm.nih.gov/pubmed/31214889
http://dx.doi.org/10.1007/s13730-019-00408-1
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author Shima, Natsuki
Hayami, Noriko
Mizuno, Hiroki
Kawada, Masahiro
Sekine, Akinari
Sumida, Keiichi
Hiramatsu, Rikako
Yamanouchi, Masayuki
Hasegawa, Eiko
Suwabe, Tatsuya
Hoshino, Junichi
Sawa, Naoki
Takaichi, Kenmei
Ohashi, Kenichi
Fujii, Takeshi
Minota, Seiji
Ubara, Yoshifumi
author_facet Shima, Natsuki
Hayami, Noriko
Mizuno, Hiroki
Kawada, Masahiro
Sekine, Akinari
Sumida, Keiichi
Hiramatsu, Rikako
Yamanouchi, Masayuki
Hasegawa, Eiko
Suwabe, Tatsuya
Hoshino, Junichi
Sawa, Naoki
Takaichi, Kenmei
Ohashi, Kenichi
Fujii, Takeshi
Minota, Seiji
Ubara, Yoshifumi
author_sort Shima, Natsuki
collection PubMed
description A 32-year-old Japanese woman was admitted to our hospital for evaluation of microscopic hematuria with a positive family history. Percutaneous renal biopsy was performed under real-time ultrasound guidance using a 16-gauge automated needle and three specimens were obtained. She had no risk factors for hemorrhage. However, macroscopic hematuria developed from 5 days after biopsy and persisted for 4 days. Her Hb decreased markedly from 15.0 to 8.1 g/dL. Enhanced computed tomography revealed urinary tract hematoma, while the early arterial phase showed inflow of contrast medium into the left renal vein from a pseudoaneurysm on a branch left renal artery. Renal transcatheter arterial embolization was performed using platinum microcoils and the arteriovenous fistula was occluded. The patient did not require blood transfusion. Severe renal bleeding that causes urinary tract hematoma usually occurs within 24 h after renal biopsy, but the possibility of late-onset renal bleeding should be kept in mind.
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spelling pubmed-68208132019-11-13 Arteriovenous fistula-related renal bleeding 5 days after percutaneous renal biopsy Shima, Natsuki Hayami, Noriko Mizuno, Hiroki Kawada, Masahiro Sekine, Akinari Sumida, Keiichi Hiramatsu, Rikako Yamanouchi, Masayuki Hasegawa, Eiko Suwabe, Tatsuya Hoshino, Junichi Sawa, Naoki Takaichi, Kenmei Ohashi, Kenichi Fujii, Takeshi Minota, Seiji Ubara, Yoshifumi CEN Case Rep Case Report A 32-year-old Japanese woman was admitted to our hospital for evaluation of microscopic hematuria with a positive family history. Percutaneous renal biopsy was performed under real-time ultrasound guidance using a 16-gauge automated needle and three specimens were obtained. She had no risk factors for hemorrhage. However, macroscopic hematuria developed from 5 days after biopsy and persisted for 4 days. Her Hb decreased markedly from 15.0 to 8.1 g/dL. Enhanced computed tomography revealed urinary tract hematoma, while the early arterial phase showed inflow of contrast medium into the left renal vein from a pseudoaneurysm on a branch left renal artery. Renal transcatheter arterial embolization was performed using platinum microcoils and the arteriovenous fistula was occluded. The patient did not require blood transfusion. Severe renal bleeding that causes urinary tract hematoma usually occurs within 24 h after renal biopsy, but the possibility of late-onset renal bleeding should be kept in mind. Springer Singapore 2019-06-18 /pmc/articles/PMC6820813/ /pubmed/31214889 http://dx.doi.org/10.1007/s13730-019-00408-1 Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Case Report
Shima, Natsuki
Hayami, Noriko
Mizuno, Hiroki
Kawada, Masahiro
Sekine, Akinari
Sumida, Keiichi
Hiramatsu, Rikako
Yamanouchi, Masayuki
Hasegawa, Eiko
Suwabe, Tatsuya
Hoshino, Junichi
Sawa, Naoki
Takaichi, Kenmei
Ohashi, Kenichi
Fujii, Takeshi
Minota, Seiji
Ubara, Yoshifumi
Arteriovenous fistula-related renal bleeding 5 days after percutaneous renal biopsy
title Arteriovenous fistula-related renal bleeding 5 days after percutaneous renal biopsy
title_full Arteriovenous fistula-related renal bleeding 5 days after percutaneous renal biopsy
title_fullStr Arteriovenous fistula-related renal bleeding 5 days after percutaneous renal biopsy
title_full_unstemmed Arteriovenous fistula-related renal bleeding 5 days after percutaneous renal biopsy
title_short Arteriovenous fistula-related renal bleeding 5 days after percutaneous renal biopsy
title_sort arteriovenous fistula-related renal bleeding 5 days after percutaneous renal biopsy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6820813/
https://www.ncbi.nlm.nih.gov/pubmed/31214889
http://dx.doi.org/10.1007/s13730-019-00408-1
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