Percutaneous needle biopsy of the kidney may be associated with a number of complications. The patient should be made aware of the relative risks as part of informed consent prior to the procedure.
(1) gross hematuria
(2) perinephric hematoma
(3) adrenal hemorrhage
(4) need for blood transfusion
(5) passage of clots through the urinary tract, with obstruction and/or renal colic
(1) traumatic arteriovenous fistula
(2) perforation and/or laceration to renal artery or vein
(1) perinephric abscess
(2) renal abscess
Traumatic injury (perforation and/or laceration):
(1) liver (right kidney)
(2) spleen (left kidney)
(3) pancreas (left kidney)
(4) gallbladder (right kidney)
Pain (abdominal, flank, and/or renal colic
NOTE: The use of ultrasonography to identify the kidneys has reduced accidental biopsies of other organs.
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Specialty: Nephrology, Clinical Laboratory