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Journal of Ultrasound

, Volume 21, Issue 4, pp 343–349 | Cite as

Role of color Doppler ultrasound in the early diagnosis of a major complication after percutaneous renal biopsy: two case reports

  • Dolores Ferrara
  • Francesco Esposito
  • Roberta Blasio
  • Rosanna Mamone
  • Rosa Severino
  • Marco Di Serafino
  • Carmine Pecoraro
  • Massimo Zeccolini
Case Report
  • 53 Downloads

Abstract

Percutaneous renal biopsy (PRB) is an important procedure in the diagnostic and prognostic evaluation of renal disorders. Despite the relative simplicity, it can be a possible cause of iatrogenic renovascular injury. We describe two cases of iatrogenic pseudoaneurysm, a major post-biopsy complication, in two pediatric patients with persistent micro- and macro-hematuria, promptly diagnosed using color Doppler ultrasound, confirmed with renal arteriography and treated with embolization.

Keywords

Pseudoaneurysm Percutaneous renal biopsy Ultrasound Complications Pediatric patients 

Abbreviations

PRB

Percutaneous renal biopsy

US

Ultrasound

CT

Computed tomography

ESPR

European Society of Pediatric Radiology

AVF

Arteriovenous fistula

CEUS

Contrast-enhanced ultrasound

Sommario

La biopsia renale percutanea (BRP) è una procedura fondamentale nella valutazione diagnostica e prognostica delle patologie renali. Nonostante la relativa semplicità, può esser causa di danno renovascolare iatrogeno. Descriviamo due casi di pseudoaneurisma iatrogeno, una complicanza maggiore post-bioptica, in due pazienti pediatrici con micro e macroematuria persistente, tempestivamente diagnosticata con eco-color Doppler, confermata con arteriografia renale e trattata mediante embolizzazione.

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB) 2018

Authors and Affiliations

  1. 1.Department of Advanced Biomedical SciencesUniversity of Naples “Federico II”NaplesItaly
  2. 2.Radiology DepartmentSantobono-Pausilipon Children HospitalNaplesItaly
  3. 3.Emergency Radiology DepartmentSan Carlo HospitalPotenzaItaly
  4. 4.Department of Radiology Cardarelli HospitalNaplesItaly
  5. 5.Nephrology and Urology Unit AORN Santobono-PausiliponNaplesItaly

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