Late Rupture of Lumbar Artery as an Unusual Complication after Renal Biopsy - Case Report

Urologia Internationalis
Karel KrejčíJosef Zadražil

Abstract

The most serious complication of renal biopsy is vascular damage with subsequent haemorrhage. To our knowledge, we present a first ever case of lumbar artery (LA) rupture accompanied by massive retroperitoneal bleeding, which developed after a significant amount of time following the biopsy itself. In a 63-year-old Caucasian female patient, a percutaneous left kidney biopsy was performed under continuous ultrasound guidance. On the fourteenth day after the procedure, she was examined for a sudden onset of left lumbar region pain. Computed tomography angiography showed a large retroperitoneal hematoma with active bleeding from the fourth left LA. Successful endovascular superselective embolization was performed immediately. The predisposing factor for the late haemorrhage could have been anticoagulation therapy, renal insufficiency and older age. Our case report highlights the need for caution, especially when performing kidney biopsy in a group of high-risk patients, particularly if they are indicated for subsequent anticoagulant therapy.

Citations

Mar 20, 2020·Clinical and Experimental Nephrology·Takehiko KawaguchiUNKNOWN Committee of Practical Guide for Kidney Biopsy 2019
Feb 20, 2021·Clinical and Experimental Nephrology·Yoshifumi UbaraUNKNOWN Committee of Practical Guide for Kidney Biopsy 2020
Oct 17, 2020·Clinical Journal of the American Society of Nephrology : CJASN·Jean-Michel HalimiLaurent Fauchier
Jan 25, 2019·Case Reports in Nephrology and Dialysis·Clara Lee Ying NgohWeng Kin Wong

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