Renal biopsy is an important investigation for
suspected renal parenchymal disease and is frequently required in clinical
practice. Use of ultrasound and automated spring loaded device has reduced the
rate of complications associated with the procedure.
However, occasionally
dramatic situations of hemodynamic instability arise due to bleeding after
renal biopsy. Only four cases of lumbar artery injury following renal biopsy
have been reported in literature.
We report a case of severe hemorrhage due to
first lumbar artery injury after native renal biopsy in a patient with
functional platelet disorder which was managed with embolization and subsequent
surgical exploration.
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