[Delayed upper abdominal pain and tarry stool after transjugular liver biopsy. A 24-old man with hemophilia].
A 24-year old patient with severe haemophilia A and chronic hepatitis C developed two weeks after transjugular liver biopsy (TJLB) haemobilia with colicky upper abdominal pain, coffee ground emesis, melaena and anaemia. Abdominal ultrasound and endoscopic retrograde cholangiogram confirmed the diagnosis. After adequate factor VIII substitution and revision with a balloon catheter the patient became asymptomatic. Haemobilia is a uncommon complication after liver biopsy. This complication should be kept in mind even if the occurrence is delayed after intervention. TJLB is an established and safe method to obtain liver specimen in patients with coagulation disorders.
Sawatzki
M
M
Medizinische Poliklinik, Universtätsspital Basel. sawatzkim@uhbs.ch
Heim
M
M
D015746:Abdominal Pain / Q000209:etiology*; D000328:Adult; D001706:Biopsy / Q000009:adverse effects* / Q000379:methods; D003085:Colic / Q000209:etiology; D003937:Diagnosis, Differential; D006431:Hemobilia / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D006467:Hemophilia A / Q000150:complications*; D006801:Humans; D007601:Jugular Veins; D008099:Liver / Q000473:pathology*; D008297:Male; D008551:Melena / Q000209:etiology*; D013997:Time Factors; D014463:Ultrasonography; D014839:Vomiting / Q000209:etiology