Case Report
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World J Gastroenterol. Apr 7, 2014; 20(13): 3712-3715
Published online Apr 7, 2014. doi: 10.3748/wjg.v20.i13.3712
Hemobilia and other complications caused by percutaneous ultrasound-guided liver biopsy
Hai-Bo Zhou
Hai-Bo Zhou, Department of Gastroenterology, Second Hospital of Zhejiang University, Hangzhou 310009, Zhejiang Province, China
Author contributions: Zhou HB contributed solely to this work.
Correspondence to: Hai-Bo Zhou, MD, Department of Gastroenterology, Second Hospital of Zhejiang University, Jiefang Rd 88, Hangzhou 310009, Zhejiang Province, China. zhouhaibohz@163.com
Telephone: +81-10-87783563 Fax: +81-10-87783886
Received: November 14, 2013
Revised: February 12, 2014
Accepted: March 6, 2014
Published online: April 7, 2014
Abstract

Hemobilia accounts for approximately 3% of all major percutaneous liver biopsy complications, and rarely results from arterioportal fistula. We report a patient who suffered from four complications over 11 d after ultrasound-guided percutaneous liver biopsy: hemobilia, acute pancreatitis, acute cholecystitis, and multiple stomach ulcers. Digital subtraction angiography was done after consultation with doctors, and showed obvious arteriovenous fistula of the right liver. The hepatic artery was selected and embolized by spring orbs. The active bleeding was stopped after embolization of the hepatic artery. The patient was discharged home on day 12 after embolization and remained well.

Keywords: Hemobilia, Acute pancreatitis, Acute cholecystitis, Stomach ulcers, Ultrasound-guided liver biopsy

Core tip: We report a patient who suffered from four complications over 11 d after ultrasound-guided percutaneous liver biopsy: hemobilia, acute pancreatitis, acute cholecystitis, and multiple stomach ulcers. Digital subtraction angiography was done after consultation with doctors, and showed obvious arteriovenous fistula of the right liver. The hepatic artery was selected and embolized by spring orbs. The active bleeding was stopped after embolization of the hepatic artery.