A Case of Hemoperitoneum after Transplant Kidney Biopsy.
- Author:
Hyoung Chan CHO
1
;
Seoung Woo LEE
;
Seung Hee LEE
;
Su Hyun KWON
;
Hyun Jung CHUNG
;
Joon Ho SONG
;
Moon Jae KIM
Author Information
1. Division of Nephrology & Hypertension, Department of Internal Medicine, Kidney Disease Research Group, Inha University College of Medicine, Incheon, Korea. nhkimj@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Biopsy;
Hemoperitoneum;
Complications;
Kidney;
Allograft
- MeSH:
Abdominal Pain;
Adult;
Biopsy;
Creatinine;
Dizziness;
Emergencies;
Glycosaminoglycans;
Hematoma;
Hemoperitoneum;
Hemorrhage;
Humans;
Kidney;
Kidney Transplantation;
Korea;
Laparotomy;
Ligation;
Needles;
Omentum;
Pelvis;
Transplantation, Homologous;
Transplants
- From:Korean Journal of Nephrology
2008;27(6):757-761
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Percutaneous transplant kidney biopsy has become the most important tool for diagnosing allograft dysfunction. However, renal biopsy has various complications. Among them, hemoperitoneum is a rare complication and has not been reported in Korea. We experienced a case of hemoperitoneum after transplant kidney biopsy. A 43-year-old man, 3 years after renal transplantation, was presented with elevated serum creatinine. Percutaneous renal biopsy was executed by real-time ultrasound guidance and 14-gauged spring loaded automated biopsy gun at upper pole of transplanted kidney. Renal biopsy was completed after 5 trials due to poor visualization of biopsy needle tip. After 2 hours, the patient complained of acute right side abdominal pain and dizziness. Abdominal pelvis CT showed moderate amount of hemoperitoneum. The patient underwent emergency laparotomy. Hematoma was seen in the omentum with minor vessel bleeding. Ligation was done. The patient was discharged after 15 days.
