Massive lymphorrhoea after fine needle biopsy of the cystic haemolymphangioma of the liver.
Trauma to a hepatic haemangioma from a fine needle biopsy has not yet been reported and the theoretical high risk with 22-23 g needles in patients with this lesion tends to be minimised. Through misdiagnosis biopsy was ordered in one case of cystic haemolymphangioma of the liver in a patient being checked by ultrasonography for possible metastases. Aspiration was complicated by a massive peritoneal lymphorrhoea, which regressed completely in 15 days. The mechanics of the event and its possible effect on the pre-existing liver failure, held to be the direct cause of death three months later, is a matter of hypothesis.
D000328:Adult; D001202:Ascitic Fluid; D001707:Biopsy, Needle / Q000009:adverse effects*; D006391:Hemangioma / Q000175:diagnosis / Q000473:pathology; D006801:Humans; D008099:Liver / Q000473:pathology; D008113:Liver Neoplasms / Q000175:diagnosis* / Q000473:pathology; D008196:Lymph; D008202:Lymphangioma / Q000175:diagnosis / Q000473:pathology; D008208:Lymphatic System / Q000293:injuries*; D008297:Male; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography