title: Ethanol ablation in postbiopsy liver hemorrhage following two failed embolizations.
abstract: A 42-year-old male presented with intraperitoneal hemorrhage 5days following percutaneous liver biopsy for suspected hepatocellular carcinoma. Diagnostic angiogram localized the bleeding to segment VI hepatic artery branches. Two consecutive arterial embolizations with microspheres and platinum coils failed to control the bleeding. The patient was a poor surgical candidate, so ultrasound-guided ethanol ablation of the bleeding source and surrounding liver segment was employed as salvage therapy. The patient stabilized clinically and was discharged home to begin palliative therapy.
authors.affiliation: School of Medicine, Louisiana State University Health Shreveport, 1501 Kings Highway, Shreveport, Louisiana, 71130. Electronic address: mpope1@lsuhsc.edu.
authors.forename: Matthew C
authors.initials: MC
authors.lastname: Pope
authors.affiliation: Department of Surgery, Louisiana State University Health Shreveport, 1501 Kings Highway, Shreveport, Louisiana, 71130.
authors.forename: David H
authors.initials: DH
authors.lastname: Ballard
authors.affiliation: School of Medicine, Louisiana State University Health Shreveport, 1501 Kings Highway, Shreveport, Louisiana, 71130. Electronic address: astick@lsuhsc.edu.
authors.forename: Alan L
authors.initials: AL
authors.lastname: Sticker
authors.affiliation: Department of Radiology, Louisiana State University Health Shreveport, 1501 Kings Highway, Shreveport, Louisiana, 71130. Electronic address: cahuja@lsuhsc.edu.
authors.forename: Chaitanya
authors.initials: C
authors.lastname: Ahuja
authors.affiliation: Department of Radiology, Louisiana State University Health Shreveport, 1501 Kings Highway, Shreveport, Louisiana, 71130. Electronic address: hdagos@lsuhsc.edu.
authors.forename: Horacio B
authors.initials: HB
authors.lastname: D'Agostino
mesh_terms: D000328:Adult; D001707:Biopsy, Needle; D006528:Carcinoma, Hepatocellular / Q000150:complications* / Q000473:pathology; D004621:Embolization, Therapeutic / Q000379:methods*; D000431:Ethanol / Q000008:administration & dosage / Q000627:therapeutic use*; D006470:Hemorrhage / Q000150:complications / Q000628:therapy*; D006801:Humans; D008099:Liver / Q000473:pathology; D008113:Liver Neoplasms / Q000150:complications* / Q000473:pathology; D008297:Male; D018084:Ultrasonography, Interventional
chemical_list: D000431:Ethanol
keywords: Embolization; Ethanol ablation; Hepatocellular carcinoma; Liver biopsy; Liver biopsy hemorrhage