活体肾移植的移植前核心穿刺活检术后及复发性血尿。

Case Reports in Transplantation Pub Date : 2022-07-28 eCollection Date: 2022-01-01 DOI:10.1155/2022/5274521
Yazan Al-Adwan, Navdeep Singh, Pranit N Chotai, Farjad Siddiqui, Ashley Limkemann, Austin Schenk, Jayanthan Subramanian, W Kenneth Washburn, Musab Alebrahim, Amer Rajab
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引用次数: 0

摘要

背景:芯针活检和楔形活检是确定同种异体肾移植适宜性的两种主要病理方法,并在将来发生排斥反应时对同种异体肾移植进行基线活检。案例演示。一例57岁的患者在同种异体移植前肾核穿刺活检后出现肾动静脉瘘,导致术后复发性血尿,经选择性介入放射线圈栓塞治疗。结论:肾移植前穿刺穿刺肾活检可出现迟发性深度血尿,完全消除后仍可复发,原因是肾盏系统内形成动静脉瘘。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Postoperative and Recurrent Hematuria after Pretransplant Core Needle Biopsy in Living Donor Kidney Transplant.

Postoperative and Recurrent Hematuria after Pretransplant Core Needle Biopsy in Living Donor Kidney Transplant.

Postoperative and Recurrent Hematuria after Pretransplant Core Needle Biopsy in Living Donor Kidney Transplant.

Postoperative and Recurrent Hematuria after Pretransplant Core Needle Biopsy in Living Donor Kidney Transplant.

Background: Core needle and wedge biopsies are the two main pathologic ways to determine the suitability of a kidney allograft and to have a baseline allograft biopsy in case of future rejection. Case Presentation. A 57-year-old patient developed a renal arteriovenous fistula causing postoperative and recurrent hematuria after allograft pretransplant renal core needle biopsy and treated with selective Interventional radiology coil embolization.

Conclusion: Delayed profound hematuria can be seen after pretransplant core needle renal biopsies and can recur again even after complete resolution, due to arteriovenous fistula formation in the renal calyceal system.

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