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Area of Science:

  • Hepatology
  • Gastroenterology
  • Interventional Radiology

Background:

  • Percutaneous liver biopsy (PLB) is a standard diagnostic tool for liver disease.
  • Hemorrhage is a rare complication of PLB, occurring in approximately 0.35% of cases.
  • The majority of bleeding events manifest within 24 hours post-procedure.

Purpose of the Study:

  • To report a rare case of delayed intrahepatic and intraperitoneal bleeding 10 days after ultrasound-guided PLB.
  • To highlight the importance of considering delayed bleeding complications following liver biopsy.

Main Methods:

  • Case report of a 56-year-old female patient.
  • Review of clinical presentation, imaging findings (CT scan), and laboratory results (Hb levels).

Main Results:

  • The patient presented with severe right upper quadrant abdominal pain 10 days post-PLB.
  • CT confirmed intrahepatic and intraperitoneal bleeding.
  • Hemoglobin levels dropped by 3.2 g/dL rapidly.

Conclusions:

  • Delayed post-biopsy bleeding, presenting more than 10 days after the procedure, is exceptionally rare.
  • This case underscores the need for clinical vigilance regarding potential delayed bleeding complications after PLB.
  • Awareness of such rare presentations is crucial for timely diagnosis and management in patients undergoing liver biopsy.