Machicao Victor I, Lukens Frank J, Lange Stephen M, Scolapio James S
Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida 32224, USA.
J Clin Gastroenterol. 2002 Apr;34(4):481-4. doi: 10.1097/00004836-200204000-00022.
We report the case of a 49-year-old patient who developed hemobilia and acute pancreatitis from an arterioportal fistula after a percutaneous liver biopsy, and we analyze diagnostic testing and management based on a concise review of the available literature. Hemobilia can present as late as 10 days after liver biopsy. Acute pancreatitis is a rare complication of hemobilia. To our knowledge, this is the first documented case of an arterioportal fistula after percutaneous liver biopsy with the late manifestation of hemobilia and acute pancreatitis.
我们报告了一例49岁患者的病例，该患者在经皮肝穿刺活检后因动门脉瘘出现了胆道出血和急性胰腺炎，并且我们基于对现有文献的简要回顾分析了诊断检测和治疗方法。胆道出血可在肝穿刺活检后长达10天出现。急性胰腺炎是胆道出血的一种罕见并发症。据我们所知，这是经皮肝穿刺活检后出现动门脉瘘并伴有胆道出血和急性胰腺炎晚期表现的首例有记录病例。
