Mistake in diagnosis, Diagnostic / therapeutic accidents, Rare disease
Liam Antony Lorentz, Linda Tebogo Hlabangana, Malcom Davies
(Department of Radiology, University of the Witwatersrand, Johannesburg, South Africa)
Am J Case Rep 2016; 17:570-573
Percutaneous needle biopsy is routinely performed for renal allograft management. Vascular complications of the procedure include pseudoaneurysm and arterio-venous fistulae formation. Delayed diagnosis of these complications is due to their mostly asymptomatic and indolent nature.
CASE REPORT: We present a case of extensive intraparenchymal pseudoaneurysm formation within the inferior pole of the allograft, diagnosed two years following the most recent biopsy procedure.
CONCLUSIONS: Renal pseudoaneurysms may only be diagnosed years after their formation as they are typically asymptomatic.
Keywords: Biopsy, Needle - adverse effects, Aneurysm, False - etiology, Adult, computed tomography angiography, Humans, Kidney Failure, Chronic - surgery, Kidney Transplantation, Male, Renal Artery