Percutaneous renal biopsy is frequently performed, and postbiopsy arteriovenous fistula (AVF) formation is not uncommon. In most cases, it is asymptomatic and remains undiagnosed, because Doppler examination is not performed routinely. We describe 2 cases of postbiopsy AVF of the kidney that were detected 61 and 17 months after renal biopsy, respectively. The subsequent superselective transcatheter arterial embolization was successful in both cases. An undetected AVF of the kidney can progress and lead to serious consequences. A follow-up Doppler examination of the kidney soon after renal biopsy and 6 months later is recommended for early detection of nonresolving AVFs to prevent further complications.
A 63-years-old postmenopausal woman was admitted to the gynecology clinic with vaginal discharge, abdominal pain, and pyrexia. Ultrasonography revealed evidence of pyometra. Serum CA-125 and CA 19-9 levels were elevated. Endometrial biopsy revealed no malignant cells or acid-fast bacilli. We performed total hysterectomy with bilateral salpingo-oophorectomy. Histological examination revealed caseous granulomatous inflammation. The diagnosis of genital tuberculosis was made and antituberculosis treatment was initiated. Here, we present a pelvic tuberculosis with pyometra in a post-menopausal women with elevated CA 125 and CA 19 9 levels.
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