RESUMO
AIM: The aim of the present study was to compare the success and complication rates of pediatric renal biopsy procedures between the angled tangential approach and the traditional approach. METHODS: From 2004 to 2009 we prospectively enrolled pediatric patients who had undergone real time ultrasound guided renal biopsy with angled tangential approach. For comparison, we retrospectively reviewed pediatric patients who had undergone traditional renal biopsy between 2002 and 2004. Adequacy of renal tissue histopathological samples and the complication rates were compared between groups. RESULTS: One hundred twenty-eight patients underwent traditional renal biopsy (Group A) while 166 patients underwent biopsy performed with angled tangential approach (Group B).The rate of inadequate material was higher in Group A compared to Group B (6.3% vs. 0.6%, p = 0.006). In four cases (three in Group A and one in Group B) renal biopsies revealed normal renal tissue. While a major complication (hemoperitoneum requiring transfusion) occurred in one case in Group A, no major complications were seen in Group B. CONCLUSION: Compared with the traditional technique, the angled tangential approach resulted in a higher adequate material rate and lower complication rate.These findings indicate that angled tangential approach could be considered for pediatric percutaneous renal biopsies.
Assuntos
Rim/diagnóstico por imagem , Rim/patologia , Pediatria/métodos , Ultrassonografia Doppler em Cores/métodos , Ultrassonografia de Intervenção/métodos , Biópsia por Agulha/efeitos adversos , Biópsia por Agulha/métodos , Criança , Feminino , Humanos , Biópsia Guiada por Imagem/métodos , Masculino , Estudos Prospectivos , Reprodutibilidade dos Testes , Estudos RetrospectivosRESUMO
Hydatid disease (HD) is a unique parasitic infection that is endemic in many parts of the world. Although the disease primarly affects the liver, HD can be encountered almost anywhere in the body depending on its hematogenous dissemination. In this case report, we describe a 61-year-old man who presented with abdominal pain and urinary complaints. Imaging studies revealed a huge liver and pelvic region lesions that exhibited characteristic imaging findings for type 3 HD.The second lesion was interpreted as occurring due to dissemination from the liver HD. Due to the extensiveness of the disease, both surgery and percutaneous drainage of the lesions were excluded and the patient was put on albendazole treatment.