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Journals / İstanbul Medical Journal / 2019 / Cilt: 20 - Sayı: 6

A Rare and Serious Complication of Percutaneous Renal Biopsy: Retroperitoneal Hemorrhage

Perkütan Böbrek Biyopsisinin Nadir ve Ciddi Bir Komplikasyonu: Retroperitoneal Hemoraji

Tamer SELEN
Ebru GÖK OĞUZ
Mehmet Deniz AYLI
Hatice ŞAHİN
Pages
568–570
Publication Date
2022-10-19
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Because ofmitral valve replacement history, a percutaneous renal biopsywas performed under low molecular weight heparin treatment.The follow-up and treatment process of retroperitonealhemorrhage after the procedure were described.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Renal biopsy is the gold standard diagnostic method inadults with the renal parenchymal disease.
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Key Findings & Data:The incidence of hemorrhagiccomplications due to interventional procedures in patients withenoxaparin use is 1.9-6.5%.
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Conclusion & Impact:Because ofmitral valve replacement history, a percutaneous renal biopsywas performed under low molecular weight heparin treatment.The follow-up and treatment process of retroperitonealhemorrhage after the procedure were described.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Renal biopsy is the gold standard diagnostic method inadults with the renal parenchymal disease. Retroperitonealhemorrhage is one of the rare and most severe complicationsof percutaneous renal biopsy. The incidence of hemorrhagiccomplications due to interventional procedures in patients withenoxaparin use is 1.9-6.5%. Patients undergoing percutaneousrenal biopsy under anti-coagulant therapy should be carefullymonitored for this potentially fatal complication after a biopsy.In this case report, we presented a 45-year-old female patientwho was admitted to our nephrology department for renalbiopsy for unexplained proteinuria and hematuria. Because ofmitral valve replacement history, a percutaneous renal biopsywas performed under low molecular weight heparin treatment.The follow-up and treatment process of retroperitonealhemorrhage after the procedure were described.

Özet

Böbrek biyopsisi renal parenkimal hastalığı olan erişkinlerde altın standart tanı yöntemidir. Retroperitoneal kanama perkütan renal biyopsinin nadir görülen ve en ciddi komplikasyonlarından biridir. Düşük molekül ağırlıklı heparin olan enoksaparin kullanılan hastalarda girişimsel işlemlere bağlı hemorajik komplikasyonların görülme insidansı %1,9- 6,5 arasındadır. Anti-koagülan tedavi altında perkütan renal biyopsi yapılan hastalar biyopsi sonrası ölümcül olabilen bu komplikasyon nedeniyle dikkatli izlenmelidir. Bu yazımızda açıklanamayan proteinüri ve hematüri nedeniyle nefroloji servisimize renal biyopsi amacıyla yatırılan 45 yaşında kadın hasta sunulmuştur. Mitral kapak replasman öyküsü nedeniyle hastaya düşük molekül ağırlıklı heparin tedavisi verilerek perkütan renal biyopsi yapılmıştır. İşlem sonrası gelişen retroperitoneal hemorajinin takip ve tedavi süreci anlatılmıştır.

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Cite This Article

SELEN, T., OĞUZ, E. G., AYLI, M. D., ŞAHİN, H. (2022). A Rare and Serious Complication of Percutaneous Renal Biopsy: Retroperitoneal Hemorrhage. İstanbul Medical Journal, Cilt: 20 - Sayı: 6, 568–570. https://ajindex.com/articles/551954

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