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Title: "MASSIVE HEMORRHAGE AFTER PERCUTANEOUS LIVER BIOPSY IN A PATIENT WITH LIVER TUMOUR: A SUCCESSFUL HEPATIC VEIN EMBOLIZATION "
e-poster Number: EPOS 16
Category: e Poster
Author Name: Dr. Naveen Kumar K
Institute:
Co-Author Name:
Abstract :
Aims & Objectives:
Massive haemorrhage from hepatic vein after percutaneous liver biopsy is a rare complication. Angiographic embolization is a minimally invasive procedure with high success rate. This case report describes the clinical course of a 55-year-old female patient with history of carcinoma breast, who experienced a major haemorrhage following percutaneous biopsy of liver tumour.
Method:
An ultrasound-guided Tru-cut liver biopsy was performed with an 18-gauge needle and biopsy tract closed with gelfoam. In the seventh hour after the procedure, the general condition of the patient started to deteriorate. Hemoperitoneum was detected in ultrasound. Active bleeding was detected in CT abdomen angiography, and she was hypotensive and tachycardiac. The patient was urgently transferred to cathlab. Hepatic artery angiography showed no obvious contrast extravasation. Through jugular route hepatic venography was performed, which showed active contrast extravasation from peripheral right hepatic vein.
Result:
Successful angiographic embolization was performed with N-butyl cyanoacrylate glue. Post embolization significant clinical improvement achieved.
Conclusion:
Angiographic embolization can be performed in patients who are hemodynamically unstable with high technical and clinical success rate. The therapeutic options have evolved from surgical management to an endovascular, less invasive approach for treating vascular complications, which has dramatically decreased the morbidity and mortality rates
