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Septic shock and bacteremia associated with laparoscopic guided liver biopsy, report on two cases
1Department of Internal Medicine, Hospital General Nuestra Señora de la Esperanza, Autonomous University of Barcelona, Spain.
Endoscopy
|September 1, 1989
Abstract:
Two cases of infectious complications after liver biopsy are reported. Klebsiella pneumoniae and beta-hemolytic Streptococcus were cultured. In both cases the biopsy was obtained under laparoscopic control. A 28-year-old woman with liver cirrhosis died 24 hours after liver biopsy as a result of septic shock and disseminated intravascular coagulation. A 67-year-old man with hepatic fibrosis suffered from transient bacteremia and recovered uneventfully after antibiotic therapy. In these patients, there was evidence to implicate pre-existing cholangitis as factor predisposing to postbiopsy bacteremia.