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Updated: Jul 8, 2026

Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein
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Delayed bleeding after liver biopsy: a dreaded complication.

W T Yeo1, L K Tan, Y Y Dan

  • 1Department of Medicine, National University Hospital, 5 Lower Kent Ridge Road, Singapore 119074.

Singapore Medical Journal
|January 22, 2008
PubMed
Summary
This summary is machine-generated.

Delayed haemothorax occurred after a liver biopsy in a patient with severe haemophilia A. Prompt diagnosis and aggressive treatment, including factor VIII and fresh frozen plasma, were crucial for management.

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Area of Science:

  • Hepatology
  • Hematology
  • Interventional Radiology

Background:

  • Percutaneous liver biopsy is a common procedure for diagnosing liver diseases.
  • Hepatitis C cirrhosis and severe haemophilia A are significant risk factors for bleeding complications.
  • Delayed complications following invasive procedures require careful consideration.

Observation:

  • A 55-year-old Chinese male with hepatitis C cirrhosis and severe haemophilia A developed delayed haemothorax ten days post-liver biopsy.
  • The patient presented with symptoms necessitating prompt diagnostic workup.

Findings:

  • The case highlights a rare but serious complication of percutaneous liver biopsy.
  • Diagnosis was confirmed through appropriate investigations.
  • Management involved factor VIII concentrate, fresh frozen plasma, and surgical consultation.

Implications:

  • Early detection and aggressive management are vital for addressing delayed haemothorax after liver biopsy.
  • This case underscores the importance of vigilant monitoring in patients with bleeding disorders undergoing invasive procedures.
  • Optimal patient outcomes depend on multidisciplinary care involving hematology and surgery.