超声引导下肝活检术后迟发性症状性胆道出血：一例报告
Delayed symptomatic hemobilia after ultrasound-guided liver biopsy: a case report.
作者信息
Rossi Piero, Sileri Pierpaolo, Gentileschi Paolo, Sica Giuseppe S, Ercoli Lucia, Coscarella Giorgio, De Majo Adriano, Gaspari Achille L
机构信息
Department of Surgery, Department of Infectious Diseases, University of Rome Tor Vergata, Clinica Columbus, Rome, Italy.
出版信息
Hepatogastroenterology. 2002 Nov-Dec;49(48):1659-62.
The incidence of hemobilia following percutaneous liver biopsy ranges between 0 and 1%. It is an unpredictable complication and the lack of symptoms or delay in their presentation further complicates its diagnosis. We report a case of hemobilia after US-guided percutaneous liver biopsy for diffuse HCV-related liver disease. The diagnosis of hemobilia was established 6 days after the percutaneous liver biopsy by endoscopic retrograde cholangiopancreatography. After superselective catheterization of the feeding artery, vascular occlusion was successfully obtained with gel foam pledges and the patient was discharged 7 days after the procedure.
经皮肝穿刺活检后发生胆道出血的发生率在0%至1%之间。这是一种不可预测的并发症，缺乏症状或症状出现延迟进一步使其诊断复杂化。我们报告一例因弥漫性丙型肝炎病毒相关肝病在美国超声引导下经皮肝穿刺活检后发生胆道出血的病例。经皮肝穿刺活检6天后通过内镜逆行胰胆管造影术确诊为胆道出血。在对供血动脉进行超选择性插管后，成功使用明胶海绵栓子实现了血管闭塞，患者在手术后7天出院。
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