S2709 Delayed Hemobilia Following Liver Biopsy: A Rare Presentation

Transjugular Liver Biopsy and the Bloody Mess That Follows: A Rare Case of Hemobilia and Hemocholecystitis

A 59-year-old woman with newly diagnosed, treatment-naïve hepatitis C presented with right upper quadrant abdominal pain. One day prior, she underwent transjugular liver biopsy to evaluate for cirrhosis. Physical exam revealed stable vital signs, jaundice, scleral icterus, and guarding to right upper quadrant palpation. Liver function tests were consistent, with total bilirubin 11.2 mg/dL, AST ...

Hemobilia and Mirizzi Syndrome: A Rare Combination

A 64-year-old obese woman presented with sudden onset of abdominal pain and hematemesis. Physical exam was notable for tenderness in the right upper quadrant (RUQ) with a positive Murphy’s sign. Lab results showed elevated aspartate aminotransferase 291 U/L, alanine aminotransferase 231 U/L, and total bilirubin 2.3 mg/L. A RUQ ultrasound showed cholelithiasis. Total bilirubin increased to 4.3 m...

Hemobilia and Melena After Liver Biopsy: A Case Report and Review of Literature

Liver biopsy is the gold standard for assessment of hepatic fibrosis although it is associated with many complications. We reported a 28-year-old chronic HCV patient who developed gall bladder hematoma with hemobilia and melena after liver biopsy. The hematoma resolved with conservative management.

Giant Palmar Lipoma: A Rare Presentation

Delayed bleeding after liver biopsy: a dreaded complication.

We present an unusual case of percutaneous liver biopsy complicated by delayed haemothorax in a 55-year-old Chinese man with hepatitis C cirrhosis and severe haemophilia A. The patient presented ten days after the initial liver biopsy, and was managed with prompt investigations for confirming the diagnosis, infusion of factor VIII and fresh frozen plasma, and early referral to the surgeon for c...