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.

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.

Diagnostic difficulties in a patient with multiple sclerosis who presents with cranial nerve palsies: an unusual complication of dental work

2020 ◽  
Vol 13 (10) ◽  
pp. e232903
Author(s):  
Jennifer Cathcart ◽  
Rebecca Caitlin Johnson ◽  
Nicholas Hughes ◽  
Manish Patel
Keyword(s):  
Multiple Sclerosis ◽  
Cavernous Sinus ◽  
Sinus Thrombosis ◽  
Rare Complication ◽  
Unusual Complication ◽  
Cavernous Sinus Thrombosis ◽  
Dental Abscess ◽  
First Case ◽  
Cranial Nerve Palsies ◽  
Diagnostic Difficulties

A woman in her 60s with multiple sclerosis (MS) presented with right-sided ptosis, right sixth nerve palsy, right facial paraesthesia and signs of sepsis. She had a recent diagnosis of a dental abscess. Investigations revealed a right submasseter abscess leading to bacterial meningitis (Streptococcus intermedius) and a cavernous sinus thrombosis. She was managed in intensive care and underwent surgical drainage of the abscess. Anticoagulation for 6 months was planned. Cavernous sinus thrombosis is a very rare complication of a dental abscess, and even less frequently associated with submasseter abscesses. The case was complicated by a history of MS, to which the patient’s symptoms and signs were initially attributed to. This case highlights the diagnostic pitfalls, and aims to enhance learning around similar cases. To the best of our knowledge, this is the first case report of a masseter/submasseter abscess leading to cavernous sinus thrombosis.

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.

IMO 1411 Routine US assessment of puncture site before performing percutaneous liver biopsy decreases complication rate and increases diagnostic yield

1997 ◽  
Vol 23 ◽  
pp. S29
Author(s):  
Eugenio Caturelli ◽  
Marco Sperandeo ◽  
Stefano Carughi ◽  
Maria Rosaria Villani ◽  
Antonio Varriale ◽  
...  
Keyword(s):  
Liver Biopsy ◽  
Complication Rate ◽  
Diagnostic Yield ◽  
Percutaneous Liver Biopsy ◽  
Puncture Site

An Unusual Complication of Percutaneous Liver Biopsy (PLB)

2006 ◽  
Vol 101 ◽  
pp. S350
Author(s):  
Jonathan Z. Potack ◽  
Sita Chokhavatia ◽  
Anthony Borcich ◽  
Daniel Labow
Keyword(s):  
Liver Biopsy ◽  
Unusual Complication ◽  
Percutaneous Liver Biopsy

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

La Maladie de Grisel: Spontaneous Atlantoaxial Subluxation

2001 ◽  
Vol 38 (3) ◽  
pp. 268-270 ◽  
Author(s):  
M. F. Meek ◽  
R. A. E. C. Hermens ◽  
P. H. Robinson
Keyword(s):  
Oral Cavity ◽  
Neck Pain ◽  
Rare Complication ◽  
Atlantoaxial Subluxation ◽  
Unusual Complication ◽  
Additional Investigation ◽  
Grisel’S Syndrome

Objective: “La maladie de Grisel” (Grisel's syndrome) is a spontaneously occurring atlantoaxial subluxation with torticollis. We present a case of atlantoaxial subluxation occurring in a 20-year period of pharyngoplasty surgery. The occurrence of a “spontaneous” atlantoaxial subluxation after oral cavity or pharynx operations is rare. Because some neck pain and stiffness are commonly seen after these kinds of operations, we would like to draw attention to this unusual complication. Symptoms associated with a torticollis after an operation in the oral cavity or pharynx requires additional investigation to exclude this rare complication. A review of the available literature concerning etiology and treatment of la maladie de Grisel is presented.

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