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Case Reports
. 2006 Jul 14;12(26):4273-5.
doi: 10.3748/wjg.v12.i26.4273.

Delayed hemorrhage from hepatic artery after ultrasound-guided percutaneous liver biopsy: a case report

Fen-Yu Ren  1 , Xi-Xu Piao, Ai-Lian Jin
Affiliations
Case Reports

Delayed hemorrhage from hepatic artery after ultrasound-guided percutaneous liver biopsy: a case report

Fen-Yu Ren et al. World J Gastroenterol. .

Abstract

Percutaneous liver biopsy is considered one of the most important diagnostic tools to evaluate diffuse liver diseases. Pseudoaneurysm of hepatic artery is an unusual complication after ultrasound-guided percutaneous liver biopsy. Delayed hemorrhage occurs much less frequently. We report a case of pseudoaneurysm of the hepatic artery of a 46-year-old man who was admitted for abdominal pain after 4 d of liver biopsy. The bleeding was controlled initially by angiographic embolization. However, recurrent bleeding could not be controlled by repeat angiography, and the patient died 4 d after admission from multiorgan failure. The admittedly rare possibility of delayed hemorrhage should be considered whenever a liver biopsy is performed.

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Figures

Figure 1
Figure 1
Angiography of the right hepatic artery. Pseudoaneurysm (arrows) in the right hepatic artery branch.
Figure 2
Figure 2
Platinum coils (arrows) are seen filling the feeding branch. Angiography obtained after embolization of the branch leading to and from the pseudoaneurysm.
See this image and copyright information in PMC

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