Hemobilia, a rare cause of acute pancreatitis after percutaneous liver biopsy: diagnosis and treatment by endoscopic retrograde cholangiopancreatography.
We here report the case history of a 75-yr-old woman who developed pancreatitis and recurrent symptomatic, cholestasis-induced hemobilia after percutaneous liver biopsy. An endoscopic sphincterotomy with clot extraction led to relief of symptoms. The risk of hemobilia after percutaneous liver biopsy is less than one per 1000 procedures, and only two cases of acute pancreatitis after percutaneous liver biopsy have previously been reported. To our knowledge, this is the first case in which endoscopic retrograde cholangiopancreatography was used to both diagnostic and therapeutic ends.
Jornod
P
P
Division of Gastroenterology, Medical Outpatient Department, University Hospital, Lausanne, Switzerland.
Wiesel
P H
PH
Pescatore
P
P
Gonvers
J J
JJ
D000208:Acute Disease; D000368:Aged; D001652:Bile Ducts / Q000293:injuries; D001707:Biopsy, Needle / Q000009:adverse effects*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002779:Cholestasis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D005260:Female; D006431:Hemobilia / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008099:Liver / Q000473:pathology*; D008105:Liver Cirrhosis, Biliary / Q000175:diagnosis; D010195:Pancreatitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D016717:Sphincterotomy, Endoscopic