[Hepatic hematomas due to Menghini liver biopsy].
Hepatic hematomas, after liver biopsy, are collections of blood within the hepatic parenchyma and/or the hepatic capsula. The frequency of hematomas is reported to vary from 0% to 23% as a consequence of the patient selection and/or of the different diagnostic techniques (angiography, isotope techniques, ultrasound and CT scan).


OBJECTIVE
To study prospectively, using the ultrasound scan, the incidence and the clinical significance of hematomas.


METHODS
115 liver punctures were prospectively studied; before and 24 hours after the procedure the patients were submitted to liver US scan and CBC, transaminase and bilirubin were also checked.


RESULTS
The procedure was unsuccessful in one patient and none had more than one needle pass; five patients had two biopsies in different sessions. The 24 hour post-biopsy liver US scan did not show any hepatic hematomas. No patient had a significant drop in hemoglobin or in red blood cells.


CONCLUSIONS
Hepatic hematomas after liver biopsy are uncommon and of little clinical significance.
Spinzi
G
G
II Divisione di Medicina, Ospedale Valduce, Como.
Imperiali
G
G
Terruzzi
V
V
Minoli
G
G
D000293:Adolescent; D000328:Adult; D000368:Aged; D001707:Biopsy, Needle / Q000009:adverse effects* / Q000379:methods / Q000706:statistics & numerical data; D006528:Carcinoma, Hepatocellular / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000209:etiology*; D002648:Child; D005260:Female; D006801:Humans; D015994:Incidence; D007558:Italy / Q000453:epidemiology; D008099:Liver / Q000000981:diagnostic imaging / Q000473:pathology*; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D014463:Ultrasonography
Ematomi epatici da epatobiopsia secondo Menghini.