Renal puncture biopsy is widely used in the pathological diagnosis of renal diseases, but it is accompanied by the risk of bleeding complications. Severe bleeding can lead to hemorrhagic shock, arteriovenous fistula, and even be life threatening. This paper reports a 58 year old male patient who developed severe perirenal hematoma and renal arteriovenous fistula after ultrasound guided renal puncture biopsy, resulting in hemorrhagic shock. After emergency interventional embolization, the fistula was successfully closed, and the patient recovered well. This case suggests that clinicians should strengthen perioperative evaluation and monitoring, identify complications early, and adopt timely and effective intervention measures to improve the safety of patients.
Wang Xiangdong (Wed,) studied this question.