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March 28, 1977

Vasovagal Pseudohemorrhage Complication of Percutaneous Renal Biopsy

JAMA. 1977;237(13):1359-1360. doi:10.1001/jama.1977.03270400063024

PERCUTANEOUS renal biopsy is associated with a low risk of morbidity and mortality when precise localization techniques are used.1,2 Nonetheless, a small number of patients will have complications from percutaneous renal biopsy.2,3 One of the most serious complications is biopsyrelated bleeding requiring surgical intervention. The present report describes a patient who was initially considered to have hemorrhagic complications from a percutaneous biopsy but probably presented this clinical picture through the circumstantial interaction of diverse events.

Report of a Case  A 22-year-old woman with systemic lupus erythematosus was admitted to the University of Virginia Hospital for a percutaneous renal biopsy. The physical examination was essentially unremarkable. Her weight was 46.3 kg; blood pressure, 130/90 mm Hg; and pulse, 73 beats per minute. The creatinine clearance was 80 ml/min; quantitative urinary protein level, 6 gm/24 hr; hematocrit reading, 29%; platelet count, 197,000/cu mm; fibrinogen, 500 mg/100 ml; prothrombin time, 12.0/