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August 29, 1959


Author Affiliations

New York

From the Department of Urology, New York Medical College, Metropolitan Medical Center.

JAMA. 1959;170(18):2185-2187. doi:10.1001/jama.1959.63010180005011b

A case of delayed hemorrhage from the kidney after a percutaneous renal biopsy occurred on the ninth day after the diagnostic procedure and required an emergency nephrectomy.

Report of a Case  A 41-year-old man was admitted to the Metropolitan Hospital because a preemployment chest x-ray showed bilateral pleural effusions. Two weeks earlier the patient had experienced the onset of nocturnal orthopnea. There had been no chills, fever, or night sweats.The patient had been essentially well until nine months prior to admission, when he developed lymphadenopathy, muscular weakness, and a wasting of the muscles of the lower extremities. A diagnosis of Guillain-Barré syndrome was made and the patient treated at another hospital with cortisone and physiotherapy. During this four-month hospitalization and the subsequent four-month follow-up, the patient had no hypertension or abnormal urinary findings. One month prior to his admission to Metropolitan Hospital his blood pressure was normal, but for