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Hemobilia and other complications caused by percutaneous ultrasound-guided liver biopsy

Hai-Bo Zhou1

  • 1Hai-Bo Zhou, Department of Gastroenterology, Second Hospital of Zhejiang University, Hangzhou 310009, Zhejiang Province, China.

World Journal of Gastroenterology
|April 8, 2014
PubMed

Hemobilia accounts for approximately 3% of all major percutaneous liver biopsy complications, and rarely results from arterioportal fistula. We report a patient who suffered from four complications over 11 d after ultrasound-guided percutaneous liver biopsy: hemobilia, acute pancreatitis, acute cholecystitis, and multiple stomach ulcers. Digital subtraction angiography was done after consultation with doctors, and showed obvious arteriovenous fistula of the right liver. The hepatic artery was selected and embolized by spring orbs. The active bleeding was stopped after embolization of the hepatic artery. The patient was discharged home on day 12 after embolization and remained well.

Keywords:
Acute cholecystitisAcute pancreatitisHemobiliaStomach ulcersUltrasound-guided liver biopsy

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