Renal biopsy-related hemorrhage: frequency and comparison of CT and sonography.
To evaluate the frequency of retroperitoneal hemorrhage related to renal biopsy, we prospectively assessed 182 patients (200 biopsies) using state-of-the-art CT and ultrasound. Our study revealed definite CT evidence of hemorrhage after 90.9% of biopsies. In a blinded analysis of images obtained in biopsied patients and in unbiopsied control patients the overall accuracy of CT was 93.8 versus 76.4% for ultrasound. Our data suggest that detectable hemorrhage is virtually always seen after renal biopsy and its frequency is much higher than noted in earlier studies.
Ralls
P W
PW
Department of Radiology, Los Angeles County/USC Medical Center.
Barakos
J A
JA
Kaptein
E M
EM
Friedman
P E
PE
Fouladian
G
G
Boswell
W D
WD
Halls
J
J
Massry
S G
SG
D001706:Biopsy / Q000009:adverse effects*; D005188:False Negative Reactions; D005189:False Positive Reactions; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology; D006470:Hemorrhage / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging / Q000293:injuries* / Q000473:pathology; D007674:Kidney Diseases / Q000175:diagnosis / Q000209:etiology; D012187:Retroperitoneal Space; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography