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  • Title: Macroscopic hematuria in a kidney transplant recipient: a rare cause.
    Author: Ladinsky GA, Goral S.
    Journal: Am J Kidney Dis; 2006 Jan; 47(1):e3-7. PubMed ID: 16377377.
    Abstract:
    Pseudoaneurysm formation in a renal transplant is an uncommon complication of such interventional procedures as percutaneous nephrostomy or renal biopsy; symptoms may be delayed for days or even years. Presentation may vary from incidental discovery to worsening renal insufficiency to life-threatening hemorrhage. We report a case of macroscopic hematuria from a pseudoaneurysm that developed in a kidney transplant recipient after placement of a percutaneous nephrostomy tube. This patient was treated with transcatheter embolization, which is highly effective. A high index of suspicion, along with early diagnosis and transcatheter embolization, are essential for the management of hematuria caused by pseudoaneurysm formation from percutaneous nephrostomy tube placement.
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