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Diagnostic Pitfalls of the Bleeding Origin after a Percutaneous Renal Biopsy: A Report of Two Cases.
- Yu Asai, Takamasa Iwakura, Sayaka Ishigaki, Shinsuke Isobe, Tomoyuki Fujikura, Naro Ohashi, Akihiko Kato, and Hideo Yasuda.
- First department of Medicine, Division of Nephrology, Hamamatsu University School of Medicine, Japan.
- Intern. Med. 2024 Aug 8.
AbstractA percutaneous renal biopsy (PRB) is a standard procedure for diagnosing renal disease, but can cause bleeding complications. Bleeding after a PRB can be classified as early- or late-onset, depending on the timing of the onset of the bleeding symptoms (<24 h or ≥24 h). We herein report two patients who experienced bleeding complications: one experienced early-onset bleeding from the 12th subcostal artery, and the other experienced late-onset bleeding from an arteriovenous fistula between a branch of the renal artery and renal vein. In both cases, the origin of the bleeding vessel was misjudged during the first examination. We discuss the diagnostic pitfalls of the origin of bleeding after a PRB and propose measures to avoid falling such pitfalls.
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