To the Editor:—
Many complications of percutaneous renal biopsy have been reported since Inversen and Brun1 established its clinical application and relative safety in 1951. These include perirenal hematomata, ureteral colic, renal arteriovenous fistula, intercostal arteriovenous fistula, infection, and laceration of a massively enlarged spleen, Brun and Raaschou2 reported the case of a patient who died following renal biopsy in whom a 1-cm hematoma was found at necropsy in the wall of the gallbladder. Kerr3 reported a fragment of duodenum along with a renal-biopsy specimen. Some of these complications have lead to shock, anuria, and death. Only one previous report of an adrenal-gland biopsy occurring as a complication of an attempted percutaneous renal biopsy could be found. This was by Kologlu4 in 1961 from the University of Ankara, Turkey. The zona fasciculata of the adrenal gland was demonstrated by microscopic examination in his case.The present
Wolf RE, AVRAM MM. Adrenal Gland Obtained at Percutaneous Renal Biopsy. JAMA. 1966;195(5):396–397. doi:10.1001/jama.1966.03100050104042
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