Pancreatitis and haemobilia due to arterioportal fistula after percutaneous liver biopsy resolved by selective arterial embolization.
Haemobilia and arterioportal fistula are uncommon complications secondary to percutaneous liver biopsy. We report the case of a patient who developed haemobilia and subsequently acute pancreatitis as a result of a liver biopsy. Selective hepatic angiogram showed an arterioportal fistula. Transcatheter arterial embolization successfully occluded the fistula. The patient remained asymptomatic 4 months later. We review the published literature concerning acute pancreatitis associated with haemobilia and draw conclusions for management of similar cases in the future.
Gómez-Valero
J A
JA
Digestive System Service, Hospital General Universitario Vall d'Hebron, Barcelona, Spain.
Sardi
J
J
Vilaseca
J
J
Pérez Lafuente
M
M
Malagelada
J R
JR
D000208:Acute Disease; D000368:Aged; D000792:Angiography; D001164:Arteriovenous Fistula / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D001707:Biopsy, Needle / Q000009:adverse effects*; D002779:Cholestasis / Q000473:pathology; D002908:Chronic Disease; D004621:Embolization, Therapeutic / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006431:Hemobilia / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D006499:Hepatic Artery / Q000002:abnormalities*; D006801:Humans; D010195:Pancreatitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D011169:Portal Vein / Q000002:abnormalities*; D018570:Risk Assessment; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler