title: Iatrogenic rupture of the ureter during kidney biopsy.
abstract: Perirenal hematoma, hematuria, and abdominal pain are common complications of kidney biopsy, but ureter rupture is relatively less frequent. Here we report a patient who experienced severe abdominal pain and gross hematuria following a non-smooth procedure of ultrasound-guided kidney biopsy. Computed tomography showed rupture of the left upper third of the ureter. We implanted a curled double-J catheter between the renal pelvis and urinary bladder. Abdominal pain and gross hematuria improved. After 2 months, the double-J catheter was removed and the patient had no further clinical symptoms. The possibility of ureter rupture, although rare, should be considered in the presence of abdominal pain and gross hematuria in patients after receiving a kidney biopsy.
authors.affiliation: Department of Internal Medicine, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung, Taiwan.
authors.forename: Szu-Chia
authors.initials: SC
authors.lastname: Chen
authors.forename: Wan-Chun
authors.initials: WC
authors.lastname: Liu
authors.forename: Chuan-Sheng
authors.initials: CS
authors.lastname: Wang
authors.forename: Mei-Yu
authors.initials: MY
authors.lastname: Jang
authors.forename: Hugo You-Hsien
authors.initials: HY
authors.lastname: Lin
authors.forename: Su-Chu
authors.initials: SC
authors.lastname: Lee
authors.forename: Jer-Ming
authors.initials: JM
authors.lastname: Chang
authors.forename: Hung-Chun
authors.initials: HC
authors.lastname: Chen
mesh_terms: D000328:Adult; D001706:Biopsy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007668:Kidney / Q000473:pathology*; D012421:Rupture; D014513:Ureter / Q000293:injuries*; D014515:Ureteral Diseases / Q000209:etiology*