Retroperitoneal haematoma (subcostal artery puncture - percutaneous renal biopsy)
Diagnosis certain
Presentation
Hypotension post percutaneous left renal biopsy
Patient Data
Age: 70 years
Gender: Male
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Extensive left-sided retroperitoneal haematoma (posterior pararenal). No renal or perirenal haematoma.
Location of gas locules along the needle tract and associated abdominal wall haematoma suggesting left subcostal artery puncture.
Small volume ascites (near water attenuation - not haemoperitoneum).
Case Discussion
Retroperitoneal haematoma complicating percutaneous renal biopsy (likely subcostal artery puncture).
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