scholarly journals Acute Pancreatitis Secondary to Hemobilia after Percutaneous Liver Biopsy: A Rare Complication of a Common Procedure, Presenting in an Atypical Fashion

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Ramy Mansour ◽  
Justin Miller
Keyword(s):  
Acute Pancreatitis ◽  
Liver Biopsy ◽  
Rare Complication ◽  
Signs And Symptoms ◽  
Transcatheter Embolization ◽  
Percutaneous Liver Biopsy ◽  
Imaging Studies ◽  
Common Procedure ◽  
Elevated Alkaline Phosphatase ◽  
Negative Imaging

Percutaneous Liver Biopsy is an often-required procedure for the evaluation of multiple liver diseases. The complications are rare but well reported. Here we present a case of a 60-year-old overweight female who underwent liver biopsy for elevated alkaline phosphatase. She developed acute pancreatitis secondary to hemobilia, with atypical signs and symptoms, following the biopsy. She never had the classic triad of RUQ pain, jaundice, and upper GI hemorrhage. There were also multiple negative imaging studies, thus complicating the presentation. She was successfully treated with ERCP, sphincterotomy, balloon sweep, and stent placement. Angiography and transcatheter embolization were not required.

scholarly journals Nontraumatic Acute Elevation of Pancreatic Enzymes following Percutaneous Nephrolithotomy: A Rare Complication

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Nikolaos Ferakis ◽  
Antonios Katsimantas ◽  
Georgios Zervopoulos ◽  
Vasileios Klapsis ◽  
Spyridon Paparidis ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Systemic Inflammatory Response Syndrome ◽  
Percutaneous Nephrolithotomy ◽  
Serum Amylase ◽  
Epigastric Pain ◽  
Rare Complication ◽  
Signs And Symptoms ◽  
Imaging Studies ◽  
Acute Elevation ◽  
Pathologic Findings

Herein, we report the case of a 48-year-old female who developed nontraumatic acute pancreatitis following left supracostal Percutaneous Nephrolithotomy. Three hours postoperatively, the patient developed fever with signs and symptoms consistent with hydrothorax, which was confirmed radiologically and was managed conservatively. The following days, the patient developed manifestations of Systemic Inflammatory Response Syndrome with epigastric pain, nausea, and vomiting. Blood, urine, and sputum cultures were negative. Serum amylase and lipase levels were elevated 3 and 13 times above the normal level, respectively. Imaging studies revealed no pathologic findings from pancreas. These findings were consistent with the diagnosis of acute pancreatitis.

scholarly journals Acute Cholecystitis and Acute Pancreatitis related to Hemobilia after Percutaneous Liver Biopsy

2017 ◽  
Vol 39 (4) ◽  
pp. 189-191
Author(s):  
Banu Demet Ozel Coskun ◽  
Gulten Can Sezgin ◽  
Guven Kahraman
Keyword(s):  
Acute Pancreatitis ◽  
Liver Biopsy ◽  
Acute Cholecystitis ◽  
Percutaneous Liver Biopsy

scholarly journals Acute obstructive pancreatitis secondary to migration of a gastrostomy tube into duodenum

2021 ◽  
Author(s):  
Waka Yanagisawa ◽  
Daniel Oh ◽  
Dinushi Perera ◽  
Sebastian Rodrigues
Keyword(s):  
Acute Pancreatitis ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Rare Complication ◽  
Ampulla Of Vater ◽  
Gastrostomy Tube ◽  
Common Procedure ◽  
Endoscopic Gastrostomy ◽  
Obstructive Pancreatitis ◽  
Tube Migration ◽  
Peg Tube

Percutaneous endoscopic gastrostomy (PEG) tube is a common procedure. This discusses the rare complication of acute pancreatitis, due to tube migration, causing obstruction of the ampulla of Vater. Radiological confirmation of tubes prior to usage may aid in preventing this reversible complication.

scholarly journals Bleeding hepatico-cutaneous fistula: Unusual complication of the percutaneous liver biopsy

2022 ◽  
pp. 7-7
Author(s):  
Miroslav Mitrovic ◽  
Milan Jovanovic ◽  
Mihailo Bezmarevic ◽  
Bosko Milev ◽  
Darko Mirkovic
Keyword(s):  
Liver Biopsy ◽  
Rare Complication ◽  
Liver Parenchyma ◽  
Skin Tumor ◽  
Unusual Complication ◽  
Safe Procedure ◽  
Percutaneous Liver Biopsy ◽  
Puncture Site ◽  
Tumor Mass ◽  
First Case

Introduction. Arteriovenous fistula is one of the complications that can occur during percutaneous liver biopsy. Hepatic arterio-venous fistula with chronic bleeding from the puncture site on the skin is extremly rare complication following percutaneous liver biopsy. Case report. The case represents a 35-year-old woman with secondary anemia caused by chronic bleeding at the site of a granuloma caused by a previous liver biopsy done 7 years ago. The patient was examined and treated for several years due to anemic syndrome. The pathological communication between the right hepatic vein, the anterior sectional branch of the portal vein and the posterior arterial sectional branch was detected on a CT scan, and proven by fistulography. Due to the failed embolization, a laparotomy was performed, where a tumor mass was found in the VI and VII segment of the liver, which communicates with the skin. Tumor mass was removed by atypical resection of VI and VII liver segments. Due to hemorrhage, re-exploration was performed, where bleeding was found from the surface of the resected liver parenchyma. Two weeks after the last operation, the patient was released for home treatment. Conclusion. Although percutaneous liver biopsy is a safe procedure, the complication in the form of bleeding occurs in less than 25% of cases and with spontaneous cessation. In our presentation, there was a complicated intrahepatic arteriovenous-portal fistula with the formation of communication with the puncture site on the skin. This is the first case of complications of this type after percutaneous liver biopsy.

Migrated PEG balloon causing acute pancreatitis

2021 ◽  
Vol 14 (4) ◽  
pp. e240605
Author(s):  
Muhammad Omar Saeed ◽  
Thomas Fleck ◽  
Ashish Awasthi ◽  
Chander Shekhar
Keyword(s):  
Acute Pancreatitis ◽  
Rare Complication ◽  
Feeding Tube ◽  
Gastrostomy Tube ◽  
Mr Cholangiopancreatography ◽  
Common Procedure ◽  
Oral Nutrition ◽  
Endoscopic Gastrostomy ◽  
Fixation Plate ◽  
Peg Tube

Percutaneous endoscopic gastrostomy (PEG) is a common procedure for an unsafe swallow or inability to maintain oral nutrition. When a PEG tube needs replacement, a balloon gastrostomy tube is usually placed through the same, well formed and mature tract without endoscopy. We present a patient with a rare complication related to the balloon gastrostomy tube, to raise awareness and minimise the risk of this complication in the future. A 67-year-old female patient presented to the emergency department with severe abdominal pain and vomiting. Her gastrostomy feeding tube displaced inwards, up to the feeding-balloon ports complex. After investigations, she was diagnosed with acute pancreatitis. MR cholangiopancreatography (MRCP) confirmed features of this and, interestingly, an inflated gastrostomy balloon could be seen abutting the major and minor ampullae. The patient confirmed that the PEG tube had been changed to a balloon gastrostomy tube some time ago, but the external fixation plate (external bumper) had been loose lately, with the tube repeatedly moving inwards. She admitted that, 1 day before admission, the PEG tube had receded into the stomach and could not be pulled out with a gentle tug. After reviewing the MRCP images, the balloon was deflated, and the tube retracted. Once correctly placed, the balloon was reinflated, and her symptoms improved over the next 2 days.

scholarly journals Venobiliary fistula with haemobilia: a rare complication of percutaneous liver biopsy

2017 ◽  
pp. bcr-2016-218930
Author(s):  
Rotimi Ayoola ◽  
Parth Jamindar ◽  
Renee Williams
Keyword(s):  
Liver Biopsy ◽  
Rare Complication ◽  
Percutaneous Liver Biopsy

Hemobilia after Percutaneous Liver Biopsy Presenting as Hematochezia: A Rare Complication of a Commonly Performed Procedure

2008 ◽  
Vol 24 (4) ◽  
pp. 313-315
Author(s):  
Shyam Dang ◽  
Velchala Neelima ◽  
Muslim Atiq ◽  
Kevin W. Olden ◽  
Farshad Aduli
Keyword(s):  
Liver Biopsy ◽  
Rare Complication ◽  
Percutaneous Liver Biopsy

scholarly journals Radiographically Occult Carcinomatous Spread of Breast Cancer to the Liver: A Challenging Case

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Trish Millard ◽  
Akriti Gupta ◽  
Christiana Brenin ◽  
Paul Marshall ◽  
Patrick Dillon
Keyword(s):  
Breast Cancer ◽  
Liver Biopsy ◽  
Breast Cancer Cells ◽  
Ductal Carcinoma ◽  
Rare Complication ◽  
Percutaneous Liver Biopsy ◽  
Carcinoma Of The Breast ◽  
Tumor Mass ◽  
Prognostic Features ◽  
Tumor Types

Metastatic carcinomatosis to the liver is a pattern of malignant infiltration that tends to provoke hepatic fibrosis. It is a rare complication of multiple solid tumor types and often seen in the absence of discrete tumor mass in the liver. We report a case of a 69-year-old woman with metastatic ductal carcinoma of the breast who presented with rising serum tumor markers and mildly cirrhotic contour of the liver on a CT scan. An early diagnosis of occult spread to the liver was made by means of a percutaneous liver biopsy showing desmoplastic response to invasive breast cancer cells found diffusely in the liver. This case highlights a rare pattern of metastatic spread of breast cancer as well as predisposing and prognostic features.

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