Bleeding hepatico-cutaneous fistula – an unusual complication of the percutaneous liver biopsy
Introduction. An arteriovenous fistula is one of the complications that can occur during percutaneous liver biopsy (PLB). Hepatic arteriovenous fistula with chronic bleeding from the puncture site on the skin is an extremely rare complication following PLB. Case report. We present a 35-year-old woma...
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2023-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502200007M.pdf |
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| author | Mitrović Miroslav Jovanović Milan Bezmarević Mihailo Milev Boško Mirković Darko |
| author_facet | Mitrović Miroslav Jovanović Milan Bezmarević Mihailo Milev Boško Mirković Darko |
| author_sort | Mitrović Miroslav |
| collection | DOAJ |
| description | Introduction. An arteriovenous fistula is one of the complications that can occur during percutaneous liver biopsy (PLB). Hepatic arteriovenous fistula with chronic bleeding from the puncture site on the skin is an extremely rare complication following PLB. Case report. We present a 35-year-old woman with secondary anemia caused by chronic bleeding at the site of a granuloma caused by a previous liver biopsy performed 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 were detected on a computed tomography 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. The tumor mass was removed by atypical resection of the VI and VII liver segments. Due to hemorrhage, reexploration was performed, where the bleeding was found from the surface of the resected liver parenchyma. The patient was released for home treatment two weeks after the last operation. Conclusion. Although PLB is a safe procedure, a complication in the form of bleeding sometimes occurs but with spontaneous cessation. In the presented patient, there was a complicated intra-hepatic arteriovenous-portal fistula with the formation of communication with the puncture site on the skin. That is the first published case of complications of this type after PLB. |
| format | Article |
| id | doaj-art-c6f97936853d40ca9e2d98ff0bf695d5 |
| institution | OA Journals |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-c6f97936853d40ca9e2d98ff0bf695d52025-08-20T02:02:37ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202023-01-01801828610.2298/VSP211118007M0042-84502200007MBleeding hepatico-cutaneous fistula – an unusual complication of the percutaneous liver biopsyMitrović Miroslav0Jovanović Milan1Bezmarević Mihailo2https://orcid.org/0000-0003-1938-8298Milev Boško3Mirković Darko4University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia + Military Medical Academy, Clinic for General Surgery, Belgrade, SerbiaUniversity of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia + Military Medical Academy, Clinic for General Surgery, Belgrade, SerbiaUniversity of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia + Military Medical Academy, Clinic for General Surgery, Belgrade, SerbiaUniversity of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia + Military Medical Academy, Clinic for General Surgery, Belgrade, SerbiaUniversity of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia + Military Medical Academy, Clinic for General Surgery, Belgrade, SerbiaIntroduction. An arteriovenous fistula is one of the complications that can occur during percutaneous liver biopsy (PLB). Hepatic arteriovenous fistula with chronic bleeding from the puncture site on the skin is an extremely rare complication following PLB. Case report. We present a 35-year-old woman with secondary anemia caused by chronic bleeding at the site of a granuloma caused by a previous liver biopsy performed 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 were detected on a computed tomography 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. The tumor mass was removed by atypical resection of the VI and VII liver segments. Due to hemorrhage, reexploration was performed, where the bleeding was found from the surface of the resected liver parenchyma. The patient was released for home treatment two weeks after the last operation. Conclusion. Although PLB is a safe procedure, a complication in the form of bleeding sometimes occurs but with spontaneous cessation. In the presented patient, there was a complicated intra-hepatic arteriovenous-portal fistula with the formation of communication with the puncture site on the skin. That is the first published case of complications of this type after PLB.http://www.doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502200007M.pdfbiopsy, fine-needlediagnosishemorrhageliversurgical procedures, operativevascular fistula |
| spellingShingle | Mitrović Miroslav Jovanović Milan Bezmarević Mihailo Milev Boško Mirković Darko Bleeding hepatico-cutaneous fistula – an unusual complication of the percutaneous liver biopsy Vojnosanitetski Pregled biopsy, fine-needle diagnosis hemorrhage liver surgical procedures, operative vascular fistula |
| title | Bleeding hepatico-cutaneous fistula – an unusual complication of the percutaneous liver biopsy |
| title_full | Bleeding hepatico-cutaneous fistula – an unusual complication of the percutaneous liver biopsy |
| title_fullStr | Bleeding hepatico-cutaneous fistula – an unusual complication of the percutaneous liver biopsy |
| title_full_unstemmed | Bleeding hepatico-cutaneous fistula – an unusual complication of the percutaneous liver biopsy |
| title_short | Bleeding hepatico-cutaneous fistula – an unusual complication of the percutaneous liver biopsy |
| title_sort | bleeding hepatico cutaneous fistula an unusual complication of the percutaneous liver biopsy |
| topic | biopsy, fine-needle diagnosis hemorrhage liver surgical procedures, operative vascular fistula |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502200007M.pdf |
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