Arterioportal fistula causing acute pancreatitis and hemobilia after liver biopsy.
We report the case of a 49-year-old patient who developed hemobilia and acute pancreatitis from an arterioportal fistula after a percutaneous liver biopsy, and we analyze diagnostic testing and management based on a concise review of the available literature. Hemobilia can present as late as 10 days after liver biopsy. Acute pancreatitis is a rare complication of hemobilia. To our knowledge, this is the first documented case of an arterioportal fistula after percutaneous liver biopsy with the late manifestation of hemobilia and acute pancreatitis.
Machicao
Victor I
VI
Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida 32224, USA.
Lukens
Frank J
FJ
Lange
Stephen M
SM
Scolapio
James S
JS
D000208:Acute Disease; D001164:Arteriovenous Fistula / Q000209:etiology* / Q000628:therapy; D001707:Biopsy, Needle / Q000009:adverse effects* / Q000379:methods; D002760:Cholangiopancreatography, Endoscopic Retrograde; D006431:Hemobilia / Q000209:etiology*; D006499:Hepatic Artery; D019698:Hepatitis C, Chronic / Q000473:pathology; D006801:Humans; D008099:Liver / Q000098:blood supply / Q000473:pathology; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000209:etiology*; D011169:Portal Vein