Delayed Bleeding after Percutaneous Liver Biopsy

  • Yaniv Dotan Department of Internal Medicine, Bnai Zion Medical Center, Haifa
  • Matthias Carlebach Department of Gastroenterology, Bnai Zion Medical Center, Haifa
  • Eli Zuckerman Liver Unit, the Lady Davis Carmel Medical Center, Haifa
  • Musa Maruf Department of Emergency Medicine, Bnai Zion Medical Center, Haifa
  • Elad Schiff Department of Internal Medicine, Bnai Zion Medical Center, Haifa

Keywords

Percutaneous liver biopsy, cirrhosis, bleeding

Abstract

Percutaneous liver biopsy (PLB) is a common procedure in patients with liver disease. Bleeding after PLB is rare, with an incidence of 0.35%. Most bleeding complications present within 24 h after biopsy. A 56-year-old woman was admitted to our hospital due to severe and sudden right upper quadrant (RUQ) abdominal pain 10 days after ultrasound (US)-guided PLB. CT study revealed both intrahepatic and intraperitoneal bleeding, and Hb levels decreased by 3.2 g/dl within a few hours. Such a prolonged delay in PLB-related bleeding has not been previously described in the medical literature.

VIEW THE ENTIRE ARTICLE

References

  • Myers PR, Fong A, Shaheen AA. Utilization rates, complications and costs of percutaneous liver biopsy: a population based study including 4275 biopsies. Liver Int 2008;28:705–712.
  • Cardinal J-F, Rufat P, Degos F. Practices of liver biopsy in France: results of a nationwide survey. For the Group of Epidemiology of the French Association for the Study of the Liver. Hepatology 2000;32:477–481.
  • Firpi RJ, Soldevila PC, Abdelmalek MF, Morelli G, Judah J, Nelson DR. Short recovery time after percutaneous liver biopsy: should we change our current practice? Clin Gastroenterol Hepatol 2005;3:926–929.
  • Rockey DC, Caldwell SH, Goodman ZD, Nelson RC, Smith AD. Liver biopsy. AASLD position paper. Hepatology 2009;49:1017–1044.
  • Caldwell SH, Hoffman M, Lisman T, Macik BG, Northup PG, Reddy KR, et al. Coagulation disorders and hemostasis in liver disease: pathophysiology and critical assessment of current management. Hepatology 2006;44:1039–1046.
  • Published: 2016-02-18

    Issue: Vol. 3 No. 2 (view)

    Section: Articles

    How to cite:
    1.
    Dotan Y, Carlebach M, Zuckerman E, Maruf M, Schiff E. Delayed Bleeding after Percutaneous Liver Biopsy. EJCRIM 2016;3 doi:10.12890/2016_000359.