Venobiliary fistula with haemobilia: A rare complication of percutaneous liver biopsy

Rotimi Ayoola, Parth Jamindar, Renee Williams

Research output: Contribution to journalArticle

Abstract

We describe a case of a 36-year-old man with a history of chronic hepatitis C who presented with abdominal pain 3 days after undergoing a percutaneous ultrasound-guided liver biopsy. Initial investigations revealed a venobiliary fistula with haemobilia and obstructive jaundice with direct bilirubin peaking at 9.2 mg/dL. He underwent an endoscopic retrograde cholangiopancreatography with sphincterotomy and stent placement, bilirubin decreased to 3.7 mg/dL, and the patient was discharged. The patient returned with recurrent abdominal pain and upper gastrointestinal bleeding with haemoglobin of 8.6 g/dL, requiring multiple transfusions. He underwent transcatheter arterial embolisation but continued bleeding. Radiofrequency ablation was pursued and was able to achieve haemostasis. The patient was discharged. The patient returned again with a fever of 39.2 °C and was found to have a large right hepatic lobe abscess. The patient underwent abscess drainage with drain placement and was treated with antibiotics for 6 weeks. He followed up in the clinic with resolution of symptoms and infection.

Original languageEnglish (US)
Article numberbcr-2016-218930
JournalBMJ Case Reports
Volume2017
DOIs
StatePublished - Jan 1 2017

Fingerprint

Hemobilia
Fistula
Biopsy
Liver
Bilirubin
Abdominal Pain
Hemorrhage
Liver Abscess
Obstructive Jaundice
Endoscopic Retrograde Cholangiopancreatography
Chronic Hepatitis C
Hemostasis
Abscess
Stents
Drainage
Hemoglobins
Fever
Anti-Bacterial Agents
Infection

Keywords

  • endoscopy
  • gastroenterology
  • gi bleeding
  • gi-stents
  • pancreas And biliary tract

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Venobiliary fistula with haemobilia : A rare complication of percutaneous liver biopsy. / Ayoola, Rotimi; Jamindar, Parth; Williams, Renee.

In: BMJ Case Reports, Vol. 2017, bcr-2016-218930, 01.01.2017.

Research output: Contribution to journalArticle

Ayoola, Rotimi ; Jamindar, Parth ; Williams, Renee. / Venobiliary fistula with haemobilia : A rare complication of percutaneous liver biopsy. In: BMJ Case Reports. 2017 ; Vol. 2017.
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