Fatal hemobilia resulting from an iatrogenic arteriobiliary fistula as a rare complication of transjugular liver biopsy.
Transjugular liver biopsy is an important tool for diagnosing and/or staging of advanced liver disease. This procedure is considered safe even in the presence of severe coagulopathy, although rare fatal complications have been described. We herein report the first case of fatal hemobilia after transjugular liver biopsy. A patient with alcoholic liver cirrhosis developed hematemesis 1 day after transjugular liver biopsy. Upper gastrointestinal endoscopy revealed bleeding from the papilla of Vater. Despite early intervention by angiography and embolization of an arteriobiliary fistula, the patient deteriorated and ultimately died due to multiorgan failure.
Gurakuqi
Gerald C
GC
Department of Internal Medicine, Division of Gastroenterology and Hepatology, Medical University of Graz, Graz, Austria.
Stadlbauer
Vanessa
V
Portugaller
Horst R
HR
Högenauer
Christoph
C
Trauner
Michael
M
Stauber
Rudolf E
RE
D001164:Arteriovenous Fistula / Q000150:complications*; D001658:Biliary Fistula / Q000150:complications*; D001707:Biopsy, Needle / Q000009:adverse effects*; D017809:Fatal Outcome; D006431:Hemobilia / Q000209:etiology*; D006801:Humans; D008099:Liver / Q000473:pathology; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications* / Q000473:pathology; D008297:Male; D008875:Middle Aged