title: Intercostal artery pseudoaneurysm after ultrasound-guided liver biopsy: a case report and review of the literature.
abstract: We present a 58-year-old woman with a right intercostal artery pseudoaneurysm after percutaneous ultrasound (US)-guided liver biopsy. The patient presented 6 days after liver biopsy with a painful, pulsatile right-sided chest wall mass at the site of biopsy needle insertion. Intercostal artery pseudoaneurysm was diagnosed with color Doppler US. Successful treatment with percutaneous US-guided injection of thrombin resulted in complete thrombosis and closure of the pseudoaneurysm. Only 12 previous cases of intercostal artery pseudoaneurysm have been reported in the English-language literature, and this is the first reported case resulting from percutaneous liver biopsy. Given how frequently percutaneous liver biopsies are performed, it is important to raise awareness of this potentially serious complication.
authors.affiliation: Oregon Health & Science University, Portland, OR.
authors.forename: Zsoka
authors.initials: Z
authors.lastname: Vajtai
authors.forename: Nicole
authors.initials: N
authors.lastname: Roy
mesh_terms: D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000209:etiology*; D003937:Diagnosis, Differential; D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration / Q000009:adverse effects* / Q000379:methods; D005260:Female; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging / Q000473:pathology*; D008875:Middle Aged; D013895:Thoracic Arteries / Q000000981:diagnostic imaging*; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging* / Q000209:etiology