Ultrasound-guided percutaneous renal biopsy-induced accessory renal artery bleeding in an amyloidosis patient 英文参考文献.docVIP

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Ultrasound-guided percutaneous renal biopsy-induced accessory renal artery bleeding in an amyloidosis patient 英文参考文献.doc

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Ultrasound-guided percutaneous renal biopsy-induced accessory renal artery bleeding in an amyloidosis patient 英文参考文献

Zhangetal.DiagnosticPathology2012,7:176 /content/7/1/176 CASE REPORT OpenAccess Ultrasound-guidedpercutaneousrenalbiopsy- inducedaccessoryrenalarterybleedinginan amyloidosispatient QingZhang*,YongqiangJi,TianweiHeandJianpingWang Abstract:Ultrasound-guidedpercutaneousrenalbiopsyisanimportanttechniquefordiagnosisofglomerular diseases,andthebiopsy-inducedlife-threateningbleedingrarelyhappens.Primarysystemicamyloidosisisarare diseasewhichmayleadtoorgandysfunctionincludingarterialstiffness.Theaccessoryrenalarteryisakindofrenal vascularvariationwhichgoesintotherenalparenchymadirectlyorviatherenalhilum.Herewereportedarare caseofpercutaneousrenalbiopsy-inducedaccessoryrenalarterylife-threateningbleedinginarenalamyloidosis patient,andourexperienceofsuccessfulrescueinthispatient. VirtualSlides:http://www.diagnosticpathology.diagnomx.eu/vs/1524207344817819 Keywords:Kidney,Biopsy,Amyloidosis,Accessoryrenalartery,Hemorrhage Introduction percutaneous renal biopsy-induced accessory renal ar- Ultrasound-guided percutaneous renal biopsy is an im- terybleedinginarenalamyloidosispatient,andourex- portant technique for diagnosis and providing evidence perienceofsuccessfulrescueinthispatient. for the treatment plans for glomerular diseases. How- ever,percutaneousrenalbiopsymayalsohavesomeside Casepresentation effects andkidney damage such as pain at the puncture site, microscopic or gross hematuria, and perirenal hematoma [1]. Usually these side effects can be alle- viated after bed rest and treatment of hemostasis, and life-threatening bleeding rarely happens. Renal amyloid- osisisararediseaseaccountingfor0.21%-1.0%ofallthe patients with renal biopsy. Primary systemic (AL) amyl- oidosis is a clonal plasma cell disorder in which the N- terminal fragments of monoclonal light chains form fibrilsthataccumulateinvariousorgansultimatelylead- ing to organ dysfunction and death [2]. This disease is difficult to recognize and differentiate from other renal diseases [3-5] with poor prognosis