Chonnam Med J.  2011 Dec;47(3):181-184. 10.4068/cmj.2011.47.3.181.

A Case of Urine Leakage: An Unusual Complication after Renal Biopsy

Affiliations
  • 1Renal Division, Department of Internal Medicine, Chungnam National University Hospital, Daejeon, Korea. ytshin@cnu.ac.kr

Abstract

Renal biopsy is a crucial method in the diagnosis and treatment of acute renal failure of unknown origin, nephrotic syndrome, suspicious interstitial nephritis, and glomerulonephritis as a possible cause of hematuria or proteinuria. Complications occur in 2% to 8% of patients after percutaneous renal biopsy. Complications include gross hematuria, perirenal hematoma, arteriovenous fistula, aneurysm, injury of other organs, and urine leakage. Urine leakage as a complication after kidney biopsy is rare. We experienced a case of urine leakage into the intra-abdominal cavity after renal biopsy.

Keyword

Kidney; Biopsy; Urinoma

MeSH Terms

Acute Kidney Injury
Aneurysm
Arteriovenous Fistula
Biopsy
Glomerulonephritis
Hematoma
Hematuria
Humans
Kidney
Nephritis, Interstitial
Nephrotic Syndrome
Proteinuria
Urinoma

Figure

  • FIG. 1 (A). Contrast-enhanced abdominal CT shows fluid collection on right perirenal & pararenal space (white arrows), and contrast media leakage on left periureteral space (black arrows). (B) Contrast media leakage on left periureteral, perirenal, pararenal space (black arrows). (C) Post-contrast plain abdominal radiography shows contrast media leakage on left perirenal, pararenal space and periureteral space (black arrows).

  • FIG. 2 Plain abdominal radiography shows coiled double J catheter in the kidney and bladder region (black arrows).


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