Open AccessPercutaneous injection of acrylic glue into renal allograft pseudoaneurysm for control of intractable post-biopsy hematuria
Author(s) -
Lal A,
Manphool Singhal,
Raja Ramachandran,
Manish Rathi,
Vivekanand Jha,
Niranjan Khandelwal
Publication year - 2014
Publication title -
indian journal of nephrology/indian journal of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.317
H-Index - 24
eISSN - 1998-3662
pISSN - 0971-4065
DOI - 10.4103/0971-4065.127909
Subject(s) - medicine , pseudoaneurysm , anuria , cyanoacrylate , surgery , percutaneous , biopsy , gross hematuria , glue , radiology , renal biopsy , urology , aneurysm , chemistry , adhesive , organic chemistry , layer (electronics) , materials science , composite material
We report a 44-year-old male, renal allograft recipient of 1-year duration who had two episodes of steroid responsive acute rejection. He presented with graft dysfunction for which a graft biopsy was performed and was suggestive of mixed rejection. At 2 weeks post-biopsy, patient developed severe pain over the graft site with anuria and graft hydronephrosis (HDN). The HDN and anuria intermittently settled with the passage of blood clots per-urethra. Contrast enhanced computerized tomography was suggestive of pseudoaneurysm in the graft kidney. The case was successfully managed with ultrasound guided percutaneous cyanoacrylate glue injection into the pseudoaneurysm.