Delayed bleeding after liver biopsy: a dreaded complication.
نویسندگان
چکیده
We present an unusual case of percutaneous liver biopsy complicated by delayed haemothorax in a 55-year-old Chinese man with hepatitis C cirrhosis and severe haemophilia A. The patient presented ten days after the initial liver biopsy, and was managed with prompt investigations for confirming the diagnosis, infusion of factor VIII and fresh frozen plasma, and early referral to the surgeon for consideration of surgical repair. The importance of early detection and aggressive therapy is emphasised.
منابع مشابه
Skull-base Osteomyelitis: a Dreaded Complication after Trivial Fall and Inadequate Management
Introduction: Skull-based osteomyelitis is bony infection which generally originates from inadequately treated chronic infection, adjoining tissue infection or after trauma.Case: 11 month female child had a trivial fall while standing near a bucket. The child developed fracture of right clavicle and left orbital swelling which was inadequately treated. This resulted in in spread of infection to...
متن کاملDelayed hepatic rupture after radiofrequency ablation for colorectal hepatic metastasis: management with transcatheter arterial embolization
Intraperitoneal bleeding after radiofrequency ablation (RFA) is the most common major vascular complication due to direct needle injury to a vessel or liver capsule. However, intraperitoneal bleeding as a result of a delayed hepatic rupture after RFA for liver tumors is an extremely rare complication. The present report describes a case of intraperitoneal hemorrhage caused by delayed hepatic ru...
متن کامل[Delayed upper abdominal pain and tarry stool after transjugular liver biopsy. A 24-old man with hemophilia].
A 24-year old patient with severe haemophilia A and chronic hepatitis C developed two weeks after transjugular liver biopsy (TJLB) haemobilia with colicky upper abdominal pain, coffee ground emesis, melaena and anaemia. Abdominal ultrasound and endoscopic retrograde cholangiogram confirmed the diagnosis. After adequate factor VIII substitution and revision with a balloon catheter the patient be...
متن کاملNear-fatal hemorrhagic shock after endoscopic ultrasound-guided liver biopsy.
Endoscopic ultrasound (EUS)-guided liver biopsy with a 19-gauge fine-needle aspiration (FNA) needle is safe and provides excellent diagnostic yield [1-4]. Post-procedural bleeding is a well-known complication of liver biopsy [5]. Although it is reasonable to assume that similar complications may arise after EUS-guided liver biopsy, no complications of this nature have been reported thus far. We...
متن کاملTwo weeks delayed bleeding in blunt liver injury: case report and review of the literature
Most cases of blunt hepatic trauma are treated nowadays non-operatively. This type of conservative treatment has resulted in increased complication rate. Delayed complications occur in cases that didn't require surgical intervention during the first 24 hours. The most common late complication is hemorrhage. We report a case of two weeks delayed hemorrhage after blunt hepatic trauma in an adult....
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Singapore medical journal
دوره 49 1 شماره
صفحات -
تاریخ انتشار 2008