Delayed massive hemobilia following percutaneous liver biopsy: treatment by embolotherapy.
A patient developed delayed life-threatening hemobilia after apparently uncomplicated percutaneous needle liver biopsy. An arteriobiliary fistula demonstrated by arteriography was successfully treated by selective transcatheter arterial embolization, with Gelfoam and a Gianturco coil. The diagnosis of liver biopsy-induced hemobilia should be suspected when a postprocedure fall in hematocrit is associated with abdominal pain, hyperbilirubinemia, or unexplained gastrointestinal bleeding. A review of the diagnosis and management of liver biopsy-related hemobilia is presented.
Lichtenstein
D R
DR
Division of Gastroenterology, Duke University Medical Center, Durham, North Carolina.
Kim
D
D
Chopra
S
S
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D001707:Biopsy, Needle / Q000009:adverse effects*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006431:Hemobilia / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D006932:Hyperbilirubinemia / Q000209:etiology; D008099:Liver / Q000473:pathology*