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.

[1]  W. Whittier,et al.  Comparison of native and transplant kidney biopsies: diagnostic yield and complications , 2018, Clinical kidney journal.

[2]  S. Shishido,et al.  Protocol graft biopsy in kidney transplantation , 2018, Nephrology.

[3]  Y. Shibagaki,et al.  Hemorrhagic shock due to bleeding from an arteriovenous fistula after allograft biopsy in a kidney transplant recipient: a case report , 2018, CEN Case Reports.

[4]  K. H. Khan,et al.  Wedge Versus Core Biopsy at Time Zero: Which Provides Better Predictive Value for Delayed Graft Function With the Remuzzi Histological Scoring System? , 2015, Transplantation proceedings.

[5]  M. Lubomirova,et al.  Incidence of A-V Fistulas after Renal Biopsy of Native and Transplanted Kidney - Two Centers Experience , 2015, Open access Macedonian journal of medical sciences.

[6]  W. Whittier,et al.  Adequacy and Complication Rates with 14‐ vs. 16‐gauge Automated Needles in Percutaneous Renal Biopsy of Native Kidneys , 2015, Seminars in dialysis.

[7]  A. Carriero,et al.  Management of postbiopsy arteriovenous fistulas in transplanted kidneys and effectiveness of endovascular treatment: a single-center experience. , 2014, Annals of vascular surgery.

[8]  J. Mai,et al.  Is bigger better? A retrospective analysis of native renal biopsies with 16 Gauge versus 18 Gauge automatic needles , 2013, Nephrology.

[9]  Ethan M Balk,et al.  Bleeding complications of native kidney biopsy: a systematic review and meta-analysis. , 2012, American journal of kidney diseases : the official journal of the National Kidney Foundation.

[10]  G. Adam,et al.  Post-biopsy arteriovenous fistula in transplant kidney: treatment with superselective transcatheter embolisation. , 2012, European journal of radiology.

[11]  R. Loffroy,et al.  Management of post-biopsy renal allograft arteriovenous fistulas with selective arterial embolization: immediate and long-term outcomes. , 2008, Clinical radiology.

[12]  A. Schwarz,et al.  Course and Relevance of Arteriovenous Fistulas After Renal Transplant Biopsies , 2008, American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons.

[13]  Y. Vanrenterghem,et al.  Transcatheter embolization of biopsy-related vascular injuries in renal allografts. Long-term technical, clinical and biochemical results. , 2003, Acta radiologica.

[14]  V. Brandenburg,et al.  Color-coded duplex sonography study of arteriovenous fistulae and pseudoaneurysms complicating percutaneous renal allograft biopsy. , 2002, Clinical nephrology.

[15]  A. Bankier,et al.  Embolization of Iatrogenic Vascular Injuries of Renal Transplants: Immediate and Follow-Up Results , 1998, CardioVascular and Interventional Radiology.

[16]  D. Adu,et al.  Knowledge of renal histology alters patient management in over 40% of cases. , 1994, Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association.

[17]  C. Zeebregts,et al.  High incidence of arteriovenous fistula after biopsy of kidney allografts , 1993, The British journal of surgery.