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Delayed symptomatic hemobilia after ultrasound-guided liver biopsy: a case report
Piero Rossi1, Pierpaolo Sileri, Paolo Gentileschi
1Department of Surgery, Department of Infectious Diseases, University of Rome Tor Vergata, Clinica Columbus, Rome, Italy.
Abstract:
The incidence of hemobilia following percutaneous liver biopsy ranges between 0 and 1%. It is an unpredictable complication and the lack of symptoms or delay in their presentation further complicates its diagnosis. We report a case of hemobilia after US-guided percutaneous liver biopsy for diffuse HCV-related liver disease. The diagnosis of hemobilia was established 6 days after the percutaneous liver biopsy by endoscopic retrograde cholangiopancreatography. After superselective catheterization of the feeding artery, vascular occlusion was successfully obtained with gel foam pledges and the patient was discharged 7 days after the procedure.