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KMID : 0359920100290060768
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Korean Journal of Nephrology
2010 Volume.29 No. 6 p.768 ~ p.771
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Renal Pelvic Hematoma Induced by Delayed Re-bleeding After Renal Biopsy
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Jeon Dae-Hong
Seo Jong-Woo
Kang Yeo-Jin
Lee Dong-Won
Lee Hyeon-Jeong
Kim Hyun-Jung
Chang Se-Ho
Park Dong-Jun
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Abstract
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Renal biopsy is a useful method for the diagnosis of kidney disease. Complications may occur and are usually associated with bleeding. However, delayed recurrent bleeding is so rare. We report a case of renal pelvic hematoma and hydronephrosis occurred by delayed re-bleeding after percutaneous needle renal biopsy. A 42-year-old woman was admitted to our institution via emergency room with gross hematuria and left flank pain, which had started on that day. Renal biopsy had been done 8 days earlier. Computed tomography (CT) angiography revealed left hydronephrosis caused by pelvic hematoma and we observed bloody urine in the left ureteral orifice on cystoscopy. Hydration, diuresis and double J stent insertion restored hydronephrosis and hematuria was disappeared. Even though renal pelvic hematoma by delayed bleeding occurs rarely after percutaneous needle kidney biopsy, we should consider this complication when delayed recurrent gross hematuria occurs after kidney biopsy.
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KEYWORD
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Biopsy, Hematuria, Hematoma
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