Massive hemorrhage from a lumbar artery following percutaneous renal biopsy.
We report a case of severe lumbar artery bleeding following percutaneous renal biopsy. A 68-year-old man with a history of rheumatoid arthritis, gold therapy, and Staphylococcus aureus bacteremia underwent a percutaneous renal biopsy to evaluate nephrotic syndrome and renal insufficiency. Following the procedure, he developed signs of severe hemorrhage. A selective renal angiogram revealed an intrarenal bleeding site that was occluded by selective embolization. The patient failed to stabilize however, and repeat angiography was performed two days later. A lumbar artery was identified as a second bleeding site, and was also occluded by selective embolization. The bleeding was controlled, but the patient developed serious complications and died five days later.
D000368:Aged; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging; D001158:Arteries / Q000293:injuries; D001164:Arteriovenous Fistula / Q000209:etiology; D001707:Biopsy, Needle / Q000009:adverse effects*; D004621:Embolization, Therapeutic; D006406:Hematoma / Q000209:etiology; D006470:Hemorrhage / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007668:Kidney / Q000473:pathology*; D008161:Lumbosacral Region / Q000098:blood supply; D008297:Male; D011859:Radiography; D012077:Renal Artery / Q000000981:diagnostic imaging