Document Detail

Delayed fatal hemorrhage from pseudoaneurysm of the hepatic artery after percutaneous liver biopsy.
MedLine Citation:
PMID:  11197259     Owner:  NLM     Status:  MEDLINE    
Hemorrhage is the most common serious complication of percutaneous liver biopsy. Liver biopsy is usually done in an outpatient setting because most significant hemorrhage is evident within a few hours after biopsy. Delayed hemorrhage occurs much less frequently but carries a much higher mortality. We present a 41-yr-old man with chronic hepatitis C who underwent a percutaneous liver biopsy uneventfully but was found to have a pseudoaneurysm of the hepatic artery 5 days later. Shortly after admission, the patient experienced bleeding into the liver from the pseudoaneurysm, which was controlled initially by angiographic embolization. However, recurrent bleeding could not be controlled by repeat angiography and surgical intervention, and the patient expired. The diagnosis and management of pseudoaneurysm of the hepatic artery complicating liver biopsy is reviewed.
A Ahmed; S L Samuels; E B Keeffe; R C Cheung
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of gastroenterology     Volume:  96     ISSN:  0002-9270     ISO Abbreviation:  Am. J. Gastroenterol.     Publication Date:  2001 Jan 
Date Detail:
Created Date:  2001-01-24     Completed Date:  2001-02-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0421030     Medline TA:  Am J Gastroenterol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  233-7     Citation Subset:  IM    
Department of Radiology, VA Palo Alto Health Care System, California 94304, USA.
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MeSH Terms
Aneurysm, False / etiology*,  radiography,  therapy
Biopsy, Needle / adverse effects*,  methods
Fatal Outcome
Hemorrhage / diagnosis,  etiology*,  therapy
Hepatic Artery / injuries*,  radiography
Hepatitis C, Chronic / pathology
Liver / pathology
Multiple Organ Failure / etiology
Risk Assessment

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