Hemobilia and other complications caused by percutaneous ultrasound-guided liver biopsy.
Hemobilia accounts for approximately 3% of all major percutaneous liver biopsy complications, and rarely results from arterioportal fistula. We report a patient who suffered from four complications over 11 d after ultrasound-guided percutaneous liver biopsy: hemobilia, acute pancreatitis, acute cholecystitis, and multiple stomach ulcers. Digital subtraction angiography was done after consultation with doctors, and showed obvious arteriovenous fistula of the right liver. The hepatic artery was selected and embolized by spring orbs. The active bleeding was stopped after embolization of the hepatic artery. The patient was discharged home on day 12 after embolization and remained well.
Hai-Bo Zhou, Department of Gastroenterology, Second Hospital of Zhejiang University, Hangzhou 310009, Zhejiang Province, China.
Hai-Bo
HB
Zhou
D015901:Angiography, Digital Subtraction; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging*; D002764:Cholecystitis / Q000000981:diagnostic imaging / Q000209:etiology; D005260:Female; D005756:Gastritis / Q000000981:diagnostic imaging / Q000473:pathology; D006431:Hemobilia / Q000209:etiology; D006499:Hepatic Artery / Q000000981:diagnostic imaging; D006801:Humans; D061705:Image-Guided Biopsy / Q000009:adverse effects*; D008099:Liver / Q000000981:diagnostic imaging* / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010195:Pancreatitis / Q000209:etiology; D011184:Postoperative Period; D013270:Stomach / Q000473:pathology; D013276:Stomach Ulcer / Q000209:etiology; D014456:Ulcer; D014463:Ultrasonography
Acute cholecystitis; Acute pancreatitis; Hemobilia; Stomach ulcers; Ultrasound-guided liver biopsy