Post liver biopsy hemorrhage
Updates to Case Attributes
Ultrasound guided biopsy of the liver is a commonly performed procedure, with clinically significant post-procedural haemorrhage thankfully uncommon.
The lessons from this case are:
1. Never be complacent ( this(this is only the 3rd, but the worst haemorrhage of many hundred liver biopsies I have performed).
2. Follow pre-preparation protocols rigourously, although it doesnt mean haemorrhage will never happen ( this(this was a single pass, non-focal biopsy).
3. Post-procedural care from radiological procedures on return to the ward is vital.
The patient stablised, without the need for embolisation or surgery.
Ultimately the procedure helped the patient in that a treatable cause for his hepatic impairment was identified - herpes simplex hepatitis.
-<p><a title="Ultrasound guided biopsy" href="/articles/ultrasound-guided-biopsy">Ultrasound guided biopsy</a> of the liver is a commonly performed procedure, with clinically significant post-procedural haemorrhage thankfully uncommon.</p><p>The lessons from this case are:</p><p>1. Never be complacent ( this is only the 3rd, but the worst haemorrhage of many hundred liver biopsies I have performed).</p><p>2. Follow pre-preparation protocols rigourously, although it doesnt mean haemorrhage will never happen ( this was a single pass, non-focal biopsy ).</p><p>3. Post-procedural care from radiological procedures on return to the ward is vital.</p><p>The patient stablised, without the need for embolisation or surgery. </p><p>Ultimately the procedure helped the patient in that a treatable cause for his hepatic impairment was identified - herpes simplex hepatitis.</p>- +<p><a href="/articles/ultrasound-guided-biopsy">Ultrasound guided biopsy</a> of the liver is a commonly performed procedure, with clinically significant post-procedural haemorrhage thankfully uncommon.</p><p>The lessons from this case are:</p><p>1. Never be complacent (this is only the 3rd, but the worst haemorrhage of many hundred liver biopsies I have performed).</p><p>2. Follow pre-preparation protocols rigourously, although it doesnt mean haemorrhage will never happen (this was a single pass, non-focal biopsy).</p><p>3. Post-procedural care from radiological procedures on return to the ward is vital.</p><p>The patient stablised, without the need for embolisation or surgery. </p><p>Ultimately the procedure helped the patient in that a treatable cause for his hepatic impairment was identified - herpes simplex hepatitis.</p>
Updates to Study Attributes
Dual phase CT Liver: extravasation of contrast from segment 4B of the liver ( at(at the site of the earlier performed ultrasound guided liver biopsy).
Moderate volume high attenuation fluid in the abdomen and pelvis, in keeping with a haemoperitoneum.
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