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Published in: Diagnostic Pathology 1/2012

Open Access 01-12-2012 | Case Report

Ultrasound-guided percutaneous renal biopsy-induced accessory renal artery bleeding in an amyloidosis patient

Authors: Qing Zhang, Yongqiang Ji, Tianwei He, Jianping Wang

Published in: Diagnostic Pathology | Issue 1/2012

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Abstract

Abstract

Ultrasound-guided percutaneous renal biopsy is an important technique for diagnosis of glomerular diseases, and the biopsy-induced life-threatening bleeding rarely happens. Primary systemic amyloidosis is a rare disease which may lead to organ dysfunction including arterial stiffness. The accessory renal artery is a kind of renal vascular variation which goes into the renal parenchyma directly or via the renal hilum. Here we reported a rare case of percutaneous renal biopsy-induced accessory renal artery life-threatening bleeding in a renal amyloidosis patient, and our experience of successful rescue in this patient.
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Literature
1.
go back to reference Cai W, Lin F, Jie D: Lateral position of percutaneous renal biopsy in the treatment of severe hydronephrosis application. J Clin Med. 2009, 13: 56-57. Cai W, Lin F, Jie D: Lateral position of percutaneous renal biopsy in the treatment of severe hydronephrosis application. J Clin Med. 2009, 13: 56-57.
2.
go back to reference Sanchorawala V: Light-chain (AL) amyloidosis: diagnosis and treatment. Clin J Am Soc Nephrol. 2006, 1: 1331-1341. 10.2215/CJN.02740806.CrossRefPubMed Sanchorawala V: Light-chain (AL) amyloidosis: diagnosis and treatment. Clin J Am Soc Nephrol. 2006, 1: 1331-1341. 10.2215/CJN.02740806.CrossRefPubMed
3.
go back to reference Otani N, Akimoto T, Yumura W, et al.: Is there a link between diabetic glomerular injury and crescent formation? A case report and literature review. Diagn Pathol. 2012, 7: 46-10.1186/1746-1596-7-46.PubMedCentralCrossRefPubMed Otani N, Akimoto T, Yumura W, et al.: Is there a link between diabetic glomerular injury and crescent formation? A case report and literature review. Diagn Pathol. 2012, 7: 46-10.1186/1746-1596-7-46.PubMedCentralCrossRefPubMed
4.
go back to reference Tanaka T, Kitabatake K, Iino M, Goto K: Immunohistochemical comparison of CD5, lambda, and kappa expression in primary and recurrent buccal mucosa-associated lymphoid tissue (MALT) lymphomas. Diagn Pathol. 2011, 6: 82-10.1186/1746-1596-6-82.PubMedCentralCrossRefPubMed Tanaka T, Kitabatake K, Iino M, Goto K: Immunohistochemical comparison of CD5, lambda, and kappa expression in primary and recurrent buccal mucosa-associated lymphoid tissue (MALT) lymphomas. Diagn Pathol. 2011, 6: 82-10.1186/1746-1596-6-82.PubMedCentralCrossRefPubMed
5.
go back to reference Dou X, Hu H, Ju Y, Liu Y, Kang K, Zhou S, Chen W: Concurrent nephrotic syndrome and acute renal failure caused by chronic lymphocytic leukemia (CLL): a case report and literature review. Diagn Pathol. 2011, 6: 99-10.1186/1746-1596-6-99.PubMedCentralCrossRefPubMed Dou X, Hu H, Ju Y, Liu Y, Kang K, Zhou S, Chen W: Concurrent nephrotic syndrome and acute renal failure caused by chronic lymphocytic leukemia (CLL): a case report and literature review. Diagn Pathol. 2011, 6: 99-10.1186/1746-1596-6-99.PubMedCentralCrossRefPubMed
6.
go back to reference Ji-Qing Z, Xiaodong Z: Questionable definition of accessory renal arteries. Chinese J Clin Anat. 2010, 28: 109-120. Ji-Qing Z, Xiaodong Z: Questionable definition of accessory renal arteries. Chinese J Clin Anat. 2010, 28: 109-120.
7.
go back to reference Westermark P, Benson MD, Buxbaum JN, et al.: Amyloid: toward terminology clarification. Report from the nomenclature committee of the international society of amyloidosis. Amyloid. 2005, 12: 1-4. 10.1080/13506120500032196.CrossRefPubMed Westermark P, Benson MD, Buxbaum JN, et al.: Amyloid: toward terminology clarification. Report from the nomenclature committee of the international society of amyloidosis. Amyloid. 2005, 12: 1-4. 10.1080/13506120500032196.CrossRefPubMed
8.
go back to reference Kyle RA, Linos A, Beard CM, et al.: Incidence and natural history of primary systemic amyloidosis in Olmsted county, Minnesota, 1950 through 1989. Blood. 1992, 79: 1817-1822.PubMed Kyle RA, Linos A, Beard CM, et al.: Incidence and natural history of primary systemic amyloidosis in Olmsted county, Minnesota, 1950 through 1989. Blood. 1992, 79: 1817-1822.PubMed
9.
go back to reference Gertz MA, Kyle RA, O’Fallon WM: Dialysis support of patients with primary systemic amyloidosis. A study of 211 patients. Arch Intern Med. 1992, 152: 2245-2250. 10.1001/archinte.1992.00400230061010.CrossRefPubMed Gertz MA, Kyle RA, O’Fallon WM: Dialysis support of patients with primary systemic amyloidosis. A study of 211 patients. Arch Intern Med. 1992, 152: 2245-2250. 10.1001/archinte.1992.00400230061010.CrossRefPubMed
10.
go back to reference Kyle RA, Gertz MA: Primary systemic amyloidosis: clinical and laboratory features in 474 cases. Semin Hematol. 1995, 32: 45-59.PubMed Kyle RA, Gertz MA: Primary systemic amyloidosis: clinical and laboratory features in 474 cases. Semin Hematol. 1995, 32: 45-59.PubMed
11.
go back to reference Skinner M, Sanchorawala V, Seldin DC, et al.: High-dose melphalan and autologous stem-cell transplantation in patients with AL amyloidosis: an 8-year study. Ann Intern Med. 2004, 140: 85-93.CrossRefPubMed Skinner M, Sanchorawala V, Seldin DC, et al.: High-dose melphalan and autologous stem-cell transplantation in patients with AL amyloidosis: an 8-year study. Ann Intern Med. 2004, 140: 85-93.CrossRefPubMed
12.
go back to reference Obici L, Perfetti V, Palladini G, et al.: Clinical aspects of systemic amyloid diseases. Biochim Biophys Acta. 2005, 1753: 11-22. 10.1016/j.bbapap.2005.08.014.CrossRefPubMed Obici L, Perfetti V, Palladini G, et al.: Clinical aspects of systemic amyloid diseases. Biochim Biophys Acta. 2005, 1753: 11-22. 10.1016/j.bbapap.2005.08.014.CrossRefPubMed
13.
go back to reference Gertz MA: Secondary amyloidosis. J Int Med. 1992, 232: 517-518. 10.1111/j.1365-2796.1992.tb00629.x.CrossRef Gertz MA: Secondary amyloidosis. J Int Med. 1992, 232: 517-518. 10.1111/j.1365-2796.1992.tb00629.x.CrossRef
14.
go back to reference Kyle RA, Gertz MA, Greipp PR, et al.: A trial of three regimens for primary amyloidosis: colchicine alone, melphalan and prednisone, and melphalan, prednisone, and colchicines. N Engl J Med. 1997, 336: 1202-1207. 10.1056/NEJM199704243361702.CrossRefPubMed Kyle RA, Gertz MA, Greipp PR, et al.: A trial of three regimens for primary amyloidosis: colchicine alone, melphalan and prednisone, and melphalan, prednisone, and colchicines. N Engl J Med. 1997, 336: 1202-1207. 10.1056/NEJM199704243361702.CrossRefPubMed
15.
go back to reference Gertz MA, Comenzo R, Falk RH, et al.: Definition of organ involvement and treatment response in immunoglobulin light chain amyloidosis (AL): a consensus opinion from the 10th international symposium on amyloid and amyloidosis, tours, France, 18–22 April 2004. Am J Hematol. 2005, 79: 319-328. 10.1002/ajh.20381.CrossRefPubMed Gertz MA, Comenzo R, Falk RH, et al.: Definition of organ involvement and treatment response in immunoglobulin light chain amyloidosis (AL): a consensus opinion from the 10th international symposium on amyloid and amyloidosis, tours, France, 18–22 April 2004. Am J Hematol. 2005, 79: 319-328. 10.1002/ajh.20381.CrossRefPubMed
16.
go back to reference Rajkumar SV, Gertz MA: Advances in the treatment of amyloidosis. N Engl J Med. 2007, 356: 2413-2415. 10.1056/NEJMe078027.CrossRefPubMed Rajkumar SV, Gertz MA: Advances in the treatment of amyloidosis. N Engl J Med. 2007, 356: 2413-2415. 10.1056/NEJMe078027.CrossRefPubMed
17.
go back to reference Goodman HJ, Gillmore JD, Lachmann HJ, et al.: Outcome of autologous stem cell transplantation for AL amyloidosis in the UK. Br J Haematol. 2006, 134: 417-425. 10.1111/j.1365-2141.2006.06204.x.CrossRefPubMed Goodman HJ, Gillmore JD, Lachmann HJ, et al.: Outcome of autologous stem cell transplantation for AL amyloidosis in the UK. Br J Haematol. 2006, 134: 417-425. 10.1111/j.1365-2141.2006.06204.x.CrossRefPubMed
18.
go back to reference Shakeri AB, Tubbs RS, Shoja MM, et al.: Bipolar supernumerary renal artery. Surg Radiol Anat. 2007, 29: 89-92. 10.1007/s00276-006-0158-0.CrossRefPubMed Shakeri AB, Tubbs RS, Shoja MM, et al.: Bipolar supernumerary renal artery. Surg Radiol Anat. 2007, 29: 89-92. 10.1007/s00276-006-0158-0.CrossRefPubMed
Metadata
Title
Ultrasound-guided percutaneous renal biopsy-induced accessory renal artery bleeding in an amyloidosis patient
Authors
Qing Zhang
Yongqiang Ji
Tianwei He
Jianping Wang
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Diagnostic Pathology / Issue 1/2012
Electronic ISSN: 1746-1596
DOI
https://doi.org/10.1186/1746-1596-7-176

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