title: Delayed massive hemobilia following percutaneous liver biopsy: treatment by embolotherapy.
abstract: 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.
authors.affiliation: Division of Gastroenterology, Duke University Medical Center, Durham, North Carolina.
authors.forename: D R
authors.initials: DR
authors.lastname: Lichtenstein
authors.forename: D
authors.initials: D
authors.lastname: Kim
authors.forename: S
authors.initials: S
authors.lastname: Chopra
mesh_terms: 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*