Unexplained gastrointestinal bleed due to arteriobiliary fistula after percutaneous liver biopsy. uri icon

Overview

abstract

  • We represent a case of a 54-year-old male who presented to the emergency department with right upper quadrant abdominal pain and melena three weeks after percutaneous liver biopsy. He was found to have anemia secondary to an upper gastrointestinal hemorrhage, unresponsive to multiple blood transfusions. Angiography later revealed an arteriobiliary fistula with contrast extravasation entering the duodenum. The fistula was successfully embolized and the patient was discharged without complication. This report demonstrates the importance in considering a vascular intrahepatic fistula in patients with right upper quadrant abdominal pain after remote liver biopsy.

publication date

  • December 5, 2016

Research

keywords

  • Abdominal Pain
  • Biopsy, Needle
  • Embolization, Therapeutic
  • Gastrointestinal Hemorrhage
  • Hemobilia
  • Liver
  • Vascular Fistula

Identity

Scopus Document Identifier

  • 85001088024

Digital Object Identifier (DOI)

  • 10.1016/j.clinimag.2016.11.019

PubMed ID

  • 27936419

Additional Document Info

volume

  • 42