Published online Apr 16, 2013. doi: 10.12998/wjcc.v1.i1.41
Revised: January 13, 2013
Accepted: February 7, 2013
Published online: April 16, 2013
We report on a 74-year-old patient with recurrent cholangitis and a large juxtapapillary duodenal diverticulum. Despite drainage of the common bile duct by an endoscopically placed stent, the elevated liver enzymes normalized only partially. To rule out other possible causes of liver injury, a percutaneous liver biopsy was done. After the liver biopsy the patient developed fulminant septic shock and died within 24 h. We discuss the possible causes of the septic shock following percutaneous liver biopsy in our patient and give a concise overview of the literature.
Core tip: This case report deals with a patient in whom percutaneous liver biopsy was performed for further work-up of elevated liver enzymes. Immediately after biopsy, the patient developed fulminant sepsis and died. Possible reasons that might have caused sepsis in this patient as well as strategies to prevent sepsis/infection following percutaneous liver biopsy are discussed.