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Major haemorrhage following a transjugular liver biopsy: a case report and a discussion of complications and learning points
Teodorescu-Arghezi, Ertan Mullan, Damian
Teodorescu-Arghezi, Ertan
Mullan, Damian
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Abstract
Liver biopsy can be performed percutaneously, or via a transjugular approach. Transjugular liver biopsy (TJLB) is usually used in patients who are suffering from severe coagulation disorders (prolonged prothrombin time or low platelets), ascites, severe obesity, or failure of a previous non-targeted percutaneous liver biopsy. In TJLB, the biopsy needle is inserted into the liver parenchyma via the hepatic vein, avoiding transgression of the hepatic capsule and peritoneum. Unlike a percutaneous biopsy, a transjugular approach reduces the risk of bleeding as any bleeding from the biopsy site should be returned into the venous system. It is a safe, well-tolerated procedure, with a major complication rate of less than 0.6%. This case report describes the rare occurrence of a severe intraperitoneal haemorrhage post-TJLB, and describes and discusses the technique, complication profile, and learning points from this complication.
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2022
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Teodorescu-Arghezi E, Mullan D. Major Haemorrhage Following a Transjugular Liver Biopsy: A Case Report and a Discussion of Complications and Learning Points. Cureus. 2022 Nov;14(11):e31533. PubMed PMID: 36540435. Pubmed Central PMCID: PMC9754727. Epub 2022/12/22. eng.