Vajtai Zsoka, Roy Nicole
Oregon Health & Science University, Portland, OR.
Ultrasound Q. 2015 Mar;31(1):63-5. doi: 10.1097/RUQ.0000000000000074.
We present a 58-year-old woman with a right intercostal artery pseudoaneurysm after percutaneous ultrasound (US)-guided liver biopsy. The patient presented 6 days after liver biopsy with a painful, pulsatile right-sided chest wall mass at the site of biopsy needle insertion. Intercostal artery pseudoaneurysm was diagnosed with color Doppler US. Successful treatment with percutaneous US-guided injection of thrombin resulted in complete thrombosis and closure of the pseudoaneurysm. Only 12 previous cases of intercostal artery pseudoaneurysm have been reported in the English-language literature, and this is the first reported case resulting from percutaneous liver biopsy. Given how frequently percutaneous liver biopsies are performed, it is important to raise awareness of this potentially serious complication.
我们报告一例58岁女性，在经皮超声（US）引导下肝活检后出现右肋间动脉假性动脉瘤。该患者在肝活检后6天，在活检针穿刺部位出现右侧胸壁疼痛性搏动性肿块。经彩色多普勒超声诊断为肋间动脉假性动脉瘤。经皮超声引导下注射凝血酶成功治疗，导致假性动脉瘤完全血栓形成并闭合。英文文献中仅报道过12例肋间动脉假性动脉瘤病例，这是首例经皮肝活检导致的病例。鉴于经皮肝活检的执行频率，提高对这种潜在严重并发症的认识很重要。
