Ultrasound guided renal biopsy

Case contributed by Dr Ian Bickle

Presentation

Deteriorating renal function. Cause unknown.

Patient Data

Age: 35
Gender: Male
Ultrasound

Diagnostic ultrasound image prior to biopsy

Normal BPD and cortical thickness.

The width of the cortex is measured over the lower pole prior to biopsy, to gauge positioning of the needle tip, allowing for the 2cm throw of the biopsy needle.

Photo

Co-axial needle for when more than one core is taken.  18G cores are typically taken.

Ultrasound

Dynamic image as biopsy taken.

The core biopsy aims to taken the renal cortex, without significant medullary fat, and certainly avoiding the pelviocalyceal system.

Case Discussion

Ultrasound guided renal biopsy may be performed for:

1. Non-focal biopsy of native kidney - to investigate the cause of renal impairment

2. Focal biopsy for unclassified lesion on diagnostic imaging

3. Non-focal biopsy of a transplant kidney - to investigate the cause of renal impairment

Related articles

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Ultrasound guided biopsy

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Case information

rID: 21920
Case created: 26th Feb 2013
Last edited: 24th Jan 2016
Inclusion in quiz mode: Included

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