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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2018; 28(03): 362-365
DOI: 10.4103/ijri.IJRI_94_18
Genitourinary Imaging

Endovascular management of a large retroperitoneal haemorrhage resulting from dual testicular and intra-renal arterial injury after renal biopsy

Munawwar Ahmed
Department of Radiology, Christian Medical College, Vellore, Tamil Nadu, India
,
Shyamkumar Nidugala Keshava
Department of Radiology, Christian Medical College, Vellore, Tamil Nadu, India
,
Vinu Moses
Department of Radiology, Christian Medical College, Vellore, Tamil Nadu, India
,
Anna T Valson
Department of Nephrology, Christian Medical College, Vellore, Tamil Nadu, India
› Author Affiliations Financial support and sponsorship Nil.
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Abstract

Percutaneous renal biopsy is a minimally invasive procedure in the work up of a chronic kidney disease patient. However, it is not free from the complications. Hematuria and abdominal haemorrhage due to intra-renal artery injury are the common complications. We report and discuss the management of a rare case of retroperitoneal haemorrhage resulting from dual arterial injury involving left testicular artery and intra-renal artery.

Keywords

Computed tomography angiography - embolisation - hematuria


Publication History

Article published online:
26 July 2021

© 2018. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Zhu MS, Chen JZ, Xu AP. Factors that can minimize bleeding complications after renal biopsy. Int Urol Nephrol 2014; 46: 1969-75
    CrossrefPubMedGoogle Scholar
  • 2 Whittier WL, Korbet SM. Timing of complications in percutaneous renal biopsy. J Am Soc Nephrol 2004; 15: 142-7
    CrossrefPubMedGoogle Scholar
  • 3 Herrero JC, Morales E, Carreño A, Domínguez-Gil B, González E, Ortiz M. et al. Severe haemorrhage and retroperitoneal haematoma secondary to renal biopsy. Nephrol Dial Transplant 2001; 16: 1078-9
    CrossrefPubMedGoogle Scholar
  • 4 Vignali C, Lonzi S, Bargellini I, Cioni R, Petruzzi P, Caramella D. et al. Vascular injuries after percutaneous renal procedures: Treatment by transcatheter embolization. Eur Radiol 2004; 14: 723-9
    CrossrefPubMedGoogle Scholar
  • 5 Al-Mula Abed YW, Hamidb RS, Kakariab AK, Khana SA, Mohammed SM. Successful management of a rare complication after percutaneous native renal biopsy. J Med Cases 2015; 9: 399-402
    CrossrefGoogle Scholar
  • 6 Silberzweig JE, Tey S, Winston JA, Mitty HA. Percutaneous renal biopsy complicated by renal capsular artery pseudoaneurysm. Am J Kidney Dis 1998; 31: 533-5
    CrossrefPubMedGoogle Scholar
  • 7 Madhusudhan KS, Gamanagatti S, Gupta AK. Endovascular embolization of pseudoaneurysm of left colic artery developing after renal biopsy. Indian J Nephrol 2015; 25: 242-5
    CrossrefPubMedGoogle Scholar
  • 8 Mamatha H, D'Souza AS, Vinodhini P, Ray B. Suhani, Pallavi. et al A cadaveric study about the anomolous origin of testicular arteries arising from the accessory renal arteries. Indian J Surg 2015; 77: 111-6
    CrossrefPubMedGoogle Scholar
  • 9 Nayak SR, PJ J, D'Costa S, Prabhu LV, Krishnamurthy A, Pai MM. et al. Multiple anomalies involving testicular and suprarenal arteries: Embryological basis and clinical significance. Rom J Morphol Embryol 2007; 48: 155-9
    PubMedGoogle Scholar
  • 10 Rusu MC. Human bilateral doubled renal and testicular arteries with a left testicular arterial arch around the left renal vein. Rom J Morphol Embryol 2006; 47: 197-200
    PubMedGoogle Scholar