Un uncommon complication of liver biopsy: Obstructive jaundice from blood clots


Carmelo Sciumè, Girolamo Geraci, Franco Pisello, Tiziana Facella, Antonella Licata, Giuseppe Modica

Ann. Ital. Chir., 2005; 76: 579-581

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INTRODUCTION: The AA. report on a case of one young woman who developed obstructive jaundice induced by hemobilia
after percutaneous liver biopsy, successfully treated with endoscopic retrograde cholangiopancreatography (ERCP)
METHODS: An endoscopic sphincterotomy was performed with extraction of the clots
OBSERVATIONS: Four weeks after ERCP the patient was healthy and asymptomatic, valuated as outpatient
CONCLUSIONS: The role of ERCP in managing biliary sequelae of hemobilia is well established: biliary decompression is
required if and intrabiliary lot causes obstructive jaundice and/or biliary colic. ERCP is feasible and leads to relief of
symptoms in most cases, without the need of surgery