Delayed hemorrhage from hepatic artery after ultrasound-guided percutaneous liver biopsy: a case report.
Percutaneous liver biopsy is considered one of the most important diagnostic tools to evaluate diffuse liver diseases. Pseudoaneurysm of hepatic artery is an unusual complication after ultrasound-guided percutaneous liver biopsy. Delayed hemorrhage occurs much less frequently. We report a case of pseudoaneurysm of the hepatic artery of a 46-year-old man who was admitted for abdominal pain after 4 d of liver biopsy. The bleeding was controlled initially by angiographic embolization. However, recurrent bleeding could not be controlled by repeat angiography, and the patient died 4 d after admission from multiorgan failure. The admittedly rare possibility of delayed hemorrhage should be considered whenever a liver biopsy is performed.
Ren
Fen-Yu
FY
Department of Gastroenterology and Hepatology, Yanbian University Hospital, Yanji 133000, Jilin Province, China. fenyu65@yahoo.com.cn
Piao
Xi-Xu
XX
Jin
Ai-Lian
AL
D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology*; D001707:Biopsy, Needle / Q000009:adverse effects* / Q000379:methods; D004621:Embolization, Therapeutic; D019160:Endosonography / Q000379:methods; D017809:Fatal Outcome; D006470:Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006499:Hepatic Artery / Q000293:injuries*; D006801:Humans; D008099:Liver / Q000098:blood supply / Q000000981:diagnostic imaging / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D013997:Time Factors