活体供肾移植术前粗针活检术后及复发性血尿
Postoperative and Recurrent Hematuria after Pretransplant Core Needle Biopsy in Living Donor Kidney Transplant.
作者信息
Al-Adwan Yazan, Singh Navdeep, Chotai Pranit N, Siddiqui Farjad, Limkemann Ashley, Schenk Austin, Subramanian Jayanthan, Washburn W Kenneth, Alebrahim Musab, Rajab Amer
机构信息
Division of Transplantation, The Comprehensive Transplant Center, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
出版信息
Case Rep Transplant. 2022 Jul 28;2022:5274521. doi: 10.1155/2022/5274521. eCollection 2022.
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. . 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.
背景
粗针穿刺活检和楔形活检是确定肾移植适用性以及在未来发生排斥反应时进行移植肾基线活检的两种主要病理方法。一名57岁患者在移植肾术前粗针穿刺活检后出现肾动静脉瘘，导致术后及反复血尿，并接受了选择性介入放射学线圈栓塞治疗。
结论
移植肾术前粗针穿刺活检后可能出现延迟性严重血尿，即使血尿完全缓解后也可能再次复发，原因是肾盏系统形成动静脉瘘。
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