Résumé
Hepatocellular adenoma is a rare, but benign, tumor mostly found in women taking oral contraceptives. Hepatocellular adenoma must be treated when bleeding of the tumor, intraperitoneal hemorrhage, or malignant transformation occurs. A percutaneous liver biopsy is relatively safe and effective, but carries the risk of mild complications, such as pain, temporary hypotension, and bleeding, and severe complications, such as intraperitoneal bleeding, peritonitis, pneumothorax, hemothorax, other organ injury, and sepsis. We treated a 33-year-old woman with hemobilia and gallbladder hematoma following a sono-guided percutaneous liver biopsy. Complete quadrantectomy with anterior lobe resection was done after angiography and embolization of the hepatic artery.
Sujets)
Adulte , Femelle , Humains , Adénomes , Adénome hépatocellulaire , Angiographie , Bile , Conduits biliaires , Biopsie , Contraceptifs oraux , Vésicule biliaire , Hématome , Hémobilie , Hémorragie , Hémothorax , Artère hépatique , Hypotension artérielle , Foie , Péritonite , Pneumothorax , SepsieRésumé
The liver biopsy has been well established for the diagnosis and prognosis of many liver diseases. The percutaneous liver biopsy is generally considered a safe procedure, especially under ultrasonography guidance. Known complications of percutaneous liver biopsy include hemoperitoneum, subcapsular hematoma, hypotension, pneumothorax, and sepsis. We report the case of a 45?year?old woman who developed an intraluminal gallbladder hematoma and subsequent cholecystitis after a percutaneous liver biopsy. The patient underwent a laparoscopic cholecystectomy and her postoperative course was uneventful.
Sujets)
Femelle , Humains , Biopsie , Cholécystectomie laparoscopique , Cholécystite , Vésicule biliaire , Hématome , Hémopéritoine , Hypotension artérielle , Foie , Maladies du foie , Pneumothorax , Pronostic , SepsieRésumé
Percutaneous liver biopsy is valued in the diagnosis of diffuse or localized liver disease. Serious complications after ultrasonography-guided liver biopsy are rare. We report a case of a 69-year-old man who underwent a percutaneous liver biopsy for the evaluation of his underlying liver disease with subsequent late complication of intraluminal gallbladder hematoma.