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Active bleeding after kidney biopsy: Successful ultrasound‐guided direct thrombin embolization into the cortical fistula
Author(s) -
EscuderoFernandez Jose Miguel,
Bolufer Cardona Mónica,
Perez Lafuente Mercedes,
Montealegre Carolina,
Uriarte Iciar,
SerresCréixams Xavier
Publication year - 2021
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.22939
Subject(s) - medicine , embolization , radiology , biopsy , angiography , ultrasound , fistula , kidney , ultrasonography , renal biopsy
A 27‐year‐old man, previously diagnosed with IgA nephropathy, was referred for native kidney biopsy. After the procedure, the patient presented active bleeding revealed by Doppler and contrast‐enhanced ultrasonography at the biopsy site. Successful embolization of the cortical fistula, the focus of bleeding, was achieved using ultrasound‐guided thrombin injection and confirmed by Doppler ultrasonography, contrast‐enhanced ultrasonography, and CT angiography. This case report shows that contrast‐enhanced ultrasonography is useful for detecting active bleeding after a solid organ biopsy. Moreover, ultrasound‐guided thrombin embolization is a safe and minimally invasive treatment and an alternative to angiography‐guided embolization.