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This report focuses on the management of severe complications arising from renal puncture biopsy, particularly hemorrhage and fistula formation.

May 4, 2026Open Access

A case report on the clinical management strategy for renal arteriovenous fistula and severe abdominal hemorrhage complicating ultrasound-guided renal puncture biopsy

Key Points

This report focuses on the management of severe complications arising from renal puncture biopsy, particularly hemorrhage and fistula formation.
Case report of a 58-year-old male with severe complications from ultrasound-guided renal biopsy.
Emergency intervention involved embolization to close the renal arteriovenous fistula.
Post-operative recovery was monitored to assess patient outcomes.
The patient developed severe perirenal hematoma and renal arteriovenous fistula leading to hemorrhagic shock.
Emergency embolization successfully closed the fistula, and the patient showed significant recovery.
Recommendations for enhanced perioperative monitoring and early identification of complications are emphasized.

Abstract

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.

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