Zvavanjanja Rodrick C, Ashton Aaron Sean
Department of Diagnostic and Interventional Imaging, University of Texas Medical School at Houston, MSB 2.130B, 6431 Fannin Street, Houston, TX 77030, USA.
Radiol Case Rep. 2018 Apr 18;13(3):702-708. doi: 10.1016/j.radcr.2018.03.016. eCollection 2018 Jun.
Percutaneous renal biopsy with ultrasound guidance is a helpful procedure regularly performed to obtain renal tissue diagnosis for rejection in the postrenal transplant setting; however, it is not without risks. We report the case of a 42-year-old male with end stage renal disease who developed a subcapsular hematoma, with subsequent hypertension and renal failure, compatible with acute page kidney as a complication of the renal biopsy. The ultrasound images demonstrated classic imaging appearances which all diagnostic and interventional radiologists should be aware of. The patient was managed successfully with conventional open surgical evacuation of the hematoma with return to baseline laboratories and vital signs after the procedure.
超声引导下经皮肾活检是肾移植术后用于获取肾组织以诊断排斥反应的常用有益检查方法；然而，该检查并非毫无风险。我们报告一例42岁终末期肾病男性患者，其在肾活检后出现肾包膜下血肿，随后出现高血压和肾衰竭，符合急性肾被膜下血肿，这是肾活检的一种并发症。超声图像显示出典型的影像学表现，所有诊断和介入放射科医生均应知晓。该患者通过传统的开放性手术清除血肿获得成功治疗，术后实验室检查和生命体征恢复至基线水平。
