# Abdominal Compartment Syndrome Secondary to Delayed Retroperitoneal Hemorrhage After Renal Biopsy: A Case Report

## TL;DR

A rare case of abdominal compartment syndrome caused by delayed bleeding after a kidney biopsy was successfully treated with combined radiology and surgical interventions.

## Contribution

Presents a rare clinical case of ACS due to delayed retroperitoneal hemorrhage after renal biopsy and its successful multidisciplinary management.

## Key findings

- ACS occurred due to delayed retroperitoneal hemorrhage following a renal biopsy.
- Repeated IVR embolization and surgical evacuation effectively managed the condition.
- Multidisciplinary coordination was crucial for successful hemostasis and recovery.

## Abstract

Abdominal compartment syndrome (ACS) is a severe clinical condition characterized by increased intra-abdominal pressure, potentially leading to organ dysfunction and high mortality. This report describes a rare case of ACS resulting from delayed retroperitoneal hemorrhage following a renal biopsy. The patient was successfully managed through repeated interventional radiology (IVR) embolization procedures, followed by prompt surgical evacuation of the hematoma. This case underscores the critical role of coordinated intervention between IVR and surgical teams in achieving hemostasis and controlling intra-abdominal hypertension. The collaborative approach highlights the importance of timely, multidisciplinary decision-making in managing biopsy-related hemorrhagic complications, particularly in high-risk patients with coagulopathies.