Bile peritonitis and hemobilia after percutaneous liver biopsy: endoscopic retrograde cholangiopancreatography demonstration of bile leak.
A 29-yr-old woman developed portal hypertension secondary to congenital intrahepatic multiple microhamartomata. Percutaneous liver biopsy was complicated by both bile peritonitis and hemobilia. Endoscopic retrograde cholangiopancreatography was used to demonstrate the bile leak. Abdominal paracentesis failed to control the leak, which was managed by surgery. Endoscopic drainage by nasobiliary intubation with suction might have avoided surgery.
D000328:Adult; D001201:Ascites / Q000209:etiology; D001646:Bile / Q000502:physiology*; D001707:Biopsy, Needle / Q000009:adverse effects*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D005260:Female; D006431:Hemobilia / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008099:Liver / Q000473:pathology*; D010538:Peritonitis / Q000209:etiology* / Q000601:surgery