title: Pyogenic hepatic abscess after percutaneous liver biopsy in a patient with sickle cell disease.
abstract: Liver abscess is a rare complication of liver biopsy but has not been reported in a patient with sickle cell disease (SCD) undergoing this procedure. The authors report the case of a child with SCD, on treatment with chronic transfusions and desferrioxamine, who developed a delayed liver abscess after a liver biopsy in which Avitene, a topical hemostatic agent, was used. This is the first description of a liver abscess as a possible complication of liver biopsy in a child with SCD. The presence of a hepatic abscess should be considered in the differential diagnosis of atypical abdominal pain in patients with SCD.
authors.affiliation: Department of Hematology-Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee 38105, USA.
authors.forename: Marta B
authors.initials: MB
authors.lastname: Garcia-Arias
authors.forename: Carlos
authors.initials: C
authors.lastname: Rodriguez-Galindo
authors.forename: Fredric A
authors.initials: FA
authors.lastname: Hoffer
authors.forename: Winfred C
authors.initials: WC
authors.lastname: Wang
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000755:Anemia, Sickle Cell / Q000150:complications*; D001706:Biopsy / Q000009:adverse effects*; D002648:Child; D003937:Diagnosis, Differential; D005334:Fever / Q000209:etiology; D006801:Humans; D008099:Liver / Q000473:pathology*; D046290:Liver Abscess, Pyogenic / Q000209:etiology*; D008297:Male