Renal Biopsy–Related Hemorrhage: Frequency and Comparison of CT and Sonography

Philip W. Ralls, Jerome Barakos, Elaine M. Kaptein, Paul E. Friedman, George Fouladian, William D. Boswell, J Halls, Shaul G. Massry

Journal of Computer Assisted Tomography · 1987 · 115 citations · 0 references

Concepts

Abstract

To evaluate the frequency of retroperitoneal hemorrhage related to renal biopsy, we prospectively assessed 182 patients (200 biopsies) using state-of-the-art CT and ultrasound. Our study revealed definite CT evidence of hemorrhage after 90.9% of biopsies. In a blinded analysis of images obtained in biopsied patients and in unbiopsied control patients the overall accuracy of CT was 93.8 versus 76.4% for ultrasound. Our data suggest that detectable hemorrhage is virtually always seen after renal biopsy and its frequency is much higher than noted in earlier studies.