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Published on: July 28, 2020
Hemorrhagic shock necessitating resuscitation and damage control surgery after needle biopsy: A report of two cases
Atsushi Tanikawa1, Keiki Shimizu2, Ryuichiro Furuta1
1Department of Surgery, Tokyo Metropolitan Tama Medical Center, 2-8-29 Musashidai, Fuchu City, Tokyo 183-8524, Japan.
Abstract:
Percutaneous needle biopsy is minimally invasive and widely performed. Bleeding is an important complication of needle biopsy. Because the wound created by the needle is small, the recognition of bleeding in the body may be delayed, and this delay can lead to hemorrhagic shock and death. We report two cases of hemorrhagic shock in which the trauma triad of death developed after needle biopsy and the patients required resuscitation and damage control surgery. Needle biopsy is less invasive but cannot stop bleeding, and so surgery should be considered to ensure hemostasis in a compromised patient.

