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Safety of blind liver biopsy
A S M Bazlul Karim1, Mizanur Rahman
1Department of Pediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University (BSMMU), Shabagh, Dhaka, Bangladesh. karimb@bangla.net
Objective:
The aim of the study was to observe the safety of blind liver biopsy in children.
Methods:
One hundred fifteen consecutive liver biopsies in hospitalized children were evaluated retrospectively. Using a standard percussion technique biopsy sites were chosen and through intercostal space blind liver biopsies were performed by TruCut biopsy needle.
Results:
The first biopsy sample was considered macroscopically adequate in 94.8% of cases. A definitive histological diagnosis was possible in 99.1% of cases. Sixty nine children were more than 5 years of age and of these 8 (11.6%) complained of pain at the biopsy site. External hemorrhage from the biopsy site was seen in 1 (0.9%) case but no sign of internal hemorrhage was detected during the 24 hours follow up period. No child died following the procedure.
Conclusion:
Blind liver biopsy in the studied hospitalized children was found to be a safe procedure.
