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Saudi Journal of Kidney Diseases and Transplantation
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CASE REPORT Table of Contents   
Year : 2014  |  Volume : 25  |  Issue : 6  |  Page : 1278-1281
Retroperitoneum: A forgotten and fatal aspect of kidney biopsy

1 Renal Unit, Royal Derby Hospital, Derby, United Kingdom
2 Renal Department, University Hospital of North Staffordshire, Stoke-on-Trent, United Kingdom

Correspondence Address:
Dr. Azharuddin Mohammed
Renal Department, Royal Derby Hospital, Uttoxeter Road, Derby, DE22 3NE
United Kingdom
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-2442.144267

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A kidney biopsy is an important tool for nephrologists in the diagnosis of renal conditions, but not without the risk of bleeding due to its invasive nature. There is abundance of literature on bleeding complications secondary to this procedure in high-risk patient groups such as amyloidosis and chronic hypertension. An undefined and unrecognized risk is a peritoneal penetration. We report here a case where, despite adequately preparing a patient for a kidney biopsy, distortion of the peritoneum and retroperitoneum from previous surgery resulted in a fatal outcome. This was due to loss of peritoneal integrity and the consequent loss of local anatomical hemostatic mechanism.

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