Related Experiment Video
Updated: Apr 4, 2026
06:02
Posterior Approach for Debridement of the Psoas Abscess
Published on: March 2, 2020
12.3K
Subphrenic abscess following percutaneous liver needle biopsy
Israel Journal of Medical Sciences
|April 1, 1983
Summary
Diabetic patients with bile duct air after surgery should avoid liver needle biopsy (LNB). This procedure can lead to serious infections like subphrenic abscess, especially in such cases.
Area of Science:
- Gastroenterology
- Hepatology
- Infectious Disease
Background:
- Choledochoduodenostomy is a surgical procedure connecting the common bile duct to the duodenum.
- Diabetes mellitus is a metabolic disorder that can impair immune function and increase infection risk.
Observation:
- A 65-year-old diabetic female patient presented with pneumobilia (air in the bile ducts) post-choledochoduodenostomy.
- The patient subsequently developed a subphrenic abscess with an air-fluid level after undergoing a liver needle biopsy (LNB).
Findings:
- Pneumobilia in diabetic patients signifies an increased susceptibility to biliary tract infections.
- Liver needle biopsy in the presence of pneumobilia and diabetes poses a significant risk of intra-abdominal infection.
Implications:
- The findings highlight pneumobilia as a critical contraindication for liver needle biopsy in diabetic patients.
- This case underscores the importance of careful patient selection and risk assessment before invasive procedures in immunocompromised individuals.
