[Ischemic hepatitis following liver biopsy in a patient with transplanted liver].
We report a case of ischemic hepatitis following a percutaneous liver biopsy in a 51 year old female patient, who had had an orthotopic liver transplant 6 months before. The angiographic study demonstrated a marked stenosis in the hepatic artery at the anastomosis site and a small arterioportal fistula. We suggest that the percutaneous liver biopsy was partially responsible for the ischemic hepatitis, due to the development of a small arterioportal fistula in a previously damaged vascular area with hepatic artery stenosis.
De Diego Lorenzo
A
A
Servicio de Aparato Digestivo, Hospital General Universitario Gregorio Marañón, Madrid.
González-Asanza
C
C
Castellote Varona
I
I
Santos Castro
L
L
Bañares Cañizares
R
R
Echenagusía
A
A
Calleja
J
J
Cos Arregui
E
E
Clemente Ricote
G
G
D000714:Anastomosis, Surgical; D000792:Angiography; D001164:Arteriovenous Fistula / Q000209:etiology; D001706:Biopsy / Q000009:adverse effects*; D003251:Constriction, Pathologic; D005260:Female; D006499:Hepatic Artery / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D006505:Hepatitis / Q000209:etiology*; D006801:Humans; D007511:Ischemia / Q000209:etiology*; D008099:Liver / Q000098:blood supply* / Q000473:pathology; D016031:Liver Transplantation; D008875:Middle Aged; D011169:Portal Vein; D014057:Tomography, X-Ray Computed
Hepatitis isquémica tras biopsia hepática en paciente transplantada hepática.