Skip to main content
SpringerLink
Log in

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

  • Case Report
  • Published:
Journal of Ultrasound Aims and scope Submit manuscript

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.

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8

Similar content being viewed by others

Abbreviations

PRB:

Percutaneous renal biopsy

US:

Ultrasound

CT:

Computed tomography

ESPR:

European Society of Pediatric Radiology

AVF:

Arteriovenous fistula

CEUS:

Contrast-enhanced ultrasound

References

  1. Walker PD (2009) The renal biopsy. Arch Pathol Lab Med 133(2):181–188

    PubMed  Google Scholar 

  2. Riccabona M, Lobo ML, Willi U, Avni F, Damasio B, Ording-Mueller LS et al (2014) ESPR uroradiology task force and ESUR Paediatric Work Group—imaging recommendations in paediatric uroradiology, part VI: childhood renal biopsy and imaging of neonatal and infant genital tract. Minutes from the task force session at the annual ESPR Meeting 2012 in Athens on childhood renal biopsy and imaging neonatal genitalia. Pediatr Radiol 44:496–502

    Article  Google Scholar 

  3. Maya ID, Maddela P, Barker J, Allon M (2007) Percutaneous renal biopsy: comparison of blind and real-time ultrasound-guided technique. Semin Dial 20:355–358

    Article  Google Scholar 

  4. Hussain F, Mallik M, Marks SD, Watson AR (2010) British Association of Paediatric Nephrology. Renal biopsies in children: current practice and audit of outcomes. Nephrol Dial Transplant 25:485–489

    Article  Google Scholar 

  5. Bollée G, Martinez F, Moulin B, Meulders Q, Rougier JP, Baumelou A et al (2010) Renal biopsy practice in France: results of a nationwide study. Nephrol Dial Transpl 25:3579–3585

    Article  Google Scholar 

  6. Yu MC, Lee F, Huang WH, Hsueh S (2014) Percutaneous ultrasound-guided renal biopsy in children: the need for renal biopsy in pediatric patients with persistent asymptomatic microscopic hematuria. Biomed J 37:391–397

    Article  Google Scholar 

  7. Aytac G, Yigit G, Alper S (2013) Doppler US evaluation of renal biopsy complications in children. Diagn Interv Radiol 19:15–19

    Google Scholar 

  8. Riccabona M, Schwinger W, Ring E (1998) Arteriovenous fistula after renal biopsy in children. J Ultrasound Med 17:505–508

    Article  CAS  Google Scholar 

  9. Skalova S, Rejtar P (2010) Safety profile of paediatric percutaneous ultrasonography-guided renal biopsies. Singap Med J 51:481–483

    CAS  Google Scholar 

  10. Sinha MD, Lewis MA, Bradbury MG, Webb NJ (2006) Percutaneous real-time ultrasound-guided renal biopsy by automated biopsy gun in children: safety and complications. J Nephrol 19:41–44

    PubMed  Google Scholar 

  11. Feneberg R, Schaefer F, Zieger B, Waldherr R, Mehls O, Scherer K (1998) Percutaneous renal biopsy in children: a 27-year experience. Nephron 79:438–446

    Article  CAS  Google Scholar 

  12. Mavili E, Dönmez H, Ozcan N, Sipahioglu M, Demirtas A (2009) Transarterial embolization for renal arterial bleeding. Diagn Interv Radiol 15:143–147

    PubMed  Google Scholar 

  13. Manno C, Strippoli GF, Arnesano L, Bonifati C, Campobasso N, Gesualdo L et al (2004) Predictors of bleeding complications in percutaneous ultrasound-guided renal biopsy. Kidney Int 66(4):1570–1577

    Article  Google Scholar 

  14. Castoldi MC, Del Moro RM, D’Urbano ML, Ferrario F, Porri MT, Maldifassi P, D’Amico G et al (1994) Sonography after renal biopsy: assessment of its role in 230 consecutive cases. Abdom Imaging 19:72–77

    Article  CAS  Google Scholar 

  15. Saad NE, Saad WE, Davies MG, Waldman DL, Fultz PJ, Rubens DJ (2005) Pseudoaneurysms and the role of minimally invasive techniques in their management. Radiographics 25(1):S173–S189

    Article  Google Scholar 

  16. Helck A, Hoffmann RT, Sommer WH, Notohamiprodjo M, Albyaa H, Reiser M et al (2010) Diagnosis, therapy monitoring and follow up of renal artery pseudoaneurysm with contrast-enhanced ultrasound in three cases. Clin Hemorheol Microcirc 46(2–3):127–137

    CAS  PubMed  Google Scholar 

  17. Whittier WL, Korbet SM (2004) Timing of complications in percutaneous renal biopsy. J Am Soc Nephrol 15:142–147

    Article  Google Scholar 

  18. Stiles KP, Yaun CM, Chung EM, Lion RD, Lane JD, Abbott KC (2000) Renal Biopsy in high-risk patients with medic diseases of the kidney. Am J Kidney Dis 36:419–433

    Article  CAS  Google Scholar 

  19. Marwah DS, Korbet SM (1996) Timing of complications in percutaneous renal biopsy: what is the optimal of observation? Am J Kidney Dis 28:47–52

    Article  CAS  Google Scholar 

  20. Amoros Torres A, Palmero Marti JL, Ramirez Backhaus M, Ferrer Puchol MD et al (2013) Intrarenal pseudoaneurysm after percutaneous nephrolithotomy. Renal angiography and selective embolization. Arch Esp Urol 66(3):317–320

    PubMed  Google Scholar 

  21. Ngo TC, Lee JJ, Gonzalgo ML (2010) Renel pseudoaneurysm: an overview. Nat Rev Urol 7(11):619–625

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Advanced Biomedical Sciences, University of Naples “Federico II”, Naples, Italy

    Dolores Ferrara & Roberta Blasio

  2. Radiology Department, Santobono-Pausilipon Children Hospital, Mario Fiore ST 6, Naples, Italy

    Dolores Ferrara, Francesco Esposito, Rosanna Mamone & Massimo Zeccolini

  3. Emergency Radiology Department, San Carlo Hospital, Potenza, Italy

    Rosa Severino

  4. Department of Radiology Cardarelli Hospital, Naples, Italy

    Marco Di Serafino

  5. Nephrology and Urology Unit AORN Santobono-Pausilipon, Naples, Italy

    Carmine Pecoraro

Authors
  1. Dolores Ferrara
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Francesco Esposito
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Roberta Blasio
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Rosanna Mamone
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Rosa Severino
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Marco Di Serafino
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Carmine Pecoraro
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Massimo Zeccolini
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Dolores Ferrara.

Ethics declarations

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.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ferrara, D., Esposito, F., Blasio, R. et al. Role of color Doppler ultrasound in the early diagnosis of a major complication after percutaneous renal biopsy: two case reports. J Ultrasound 21, 343–349 (2018). https://doi.org/10.1007/s40477-018-0326-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40477-018-0326-1

Keywords

Search

Navigation