Related Experiment Video
Updated: Aug 10, 2026

07:10
Measurement of the Hepatic Venous Pressure Gradient and Transjugular Liver Biopsy
Published on: June 18, 2020
[Gallbladder puncture - a rare percutaneous liver biopsy complication]
Khirurgiia
|November 6, 2001
Summary
Percutaneous liver biopsy complications are rare, with bleeding being the most common severe issue. Careful technique and ultrasonography guidance can minimize risks like bile aspiration and peritonitis.
Area of Science:
- Hepatology
- Gastroenterology
- Interventional Radiology
Context:
- Review of 1000 percutaneous liver biopsies performed between 1981 and 2000.
- Utilized Menghini's needle technique over a 20-year period.
- Analysis of major complications and patient outcomes.
Purpose:
- To report and analyze the major complications associated with percutaneous liver biopsy.
- To evaluate the incidence and causes of severe adverse events.
- To discuss preventative measures and diagnostic limitations.
Summary:
- Five severe complications (0.5%) were recorded, with bleeding as the primary cause in four cases.
- One case involved bile aspiration, necessitating urgent surgical intervention.
- Bile aspiration occurred in 0.9% of cases despite adherence to protocols.
Impact:
- Highlights the importance of precise technique and ultrasonography in percutaneous liver biopsy.
- Recommends avoiding the term "blind" biopsy to emphasize procedural control.
- Aims to reduce mortality associated with biliary peritonitis by improving biopsy targeting.

