title: Pancreatitis and haemobilia due to arterioportal fistula after percutaneous liver biopsy resolved by selective arterial embolization.
abstract: 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.
authors: Digestive System Service, Hospital General Universitario Vall d'Hebron, Barcelona, Spain.
authors: J A
authors: JA
authors: Gómez-Valero
authors: J
authors: J
authors: Sardi
authors: J
authors: J
authors: Vilaseca
authors: M
authors: M
authors: Pérez Lafuente
authors: J R
authors: JR
authors: Malagelada
mesh_terms: 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