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We report a 35-year-old Asian man who presented with symptomatic malignant hypertension with complications of acute kidney injury, thrombocytopenia and microangiopathic haemolytic anemia. A renal biopsy done led to recurrent bleeding needing repeated embolization. We highlight the importance of continued monitoring for post biopsy bleeding even weeks after the biopsy for high-risk cases and discuss the aspects of prevention of severe post biopsy bleeding.  Keywords: Renal biopsy; Malignant hypertension; Embolization; Desmopressin.

An unusual case of delayed and recurrent bleeding after renal biopsy in a patient with malignant hypertension