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Published on: February 7, 2015
Delayed Bleeding after Percutaneous Liver Biopsy
Yaniv Dotan1, Matthias Carlebach2, Eli Zuckerman3
1Department of Internal Medicine, Bnai Zion Medical Center, Haifa, Israel.
Abstract:
Percutaneous liver biopsy (PLB) is a common procedure in patients with liver disease. Bleeding after PLB is rare, with an incidence of 0.35%. Most bleeding complications present within 24 h after biopsy. A 56-year-old woman was admitted to our hospital due to severe and sudden right upper quadrant (RUQ) abdominal pain 10 days after ultrasound (US)-guided PLB. CT study revealed both intrahepatic and intraperitoneal bleeding, and Hb levels decreased by 3.2 g/dl within a few hours. Such a prolonged delay in PLB-related bleeding has not been previously described in the medical literature.
Learning Points:
Bleeding after liver biopsy is very rare, with an incidence of 0.35%.Approximately 95% of bleeding complications occur within 24 h.Physicians should be aware of rare delayed presentation in the days following liver biopsy.
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