Major Haemorrhage Following a Transjugular Liver Biopsy: A Case Report and a Discussion of Complications and Learning Points

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...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2022-11, Vol.14 (11), p.e31533
Main Authors: Teodorescu-Arghezi, Ertan, Mullan, Damian
Format: Article
Language:English
Subjects:
Abdomen
Biopsy
Case reports
Catheters
Chemotherapy
Consent
Contraindications
Coronary vessels
Cysts
Gallbladder diseases
Graft versus host disease
Hematology
Hemoglobin
Hemorrhage
Liver
Medical imaging
Mortality
Oncology
Pneumothorax
Radiology
Sepsis
Stem cells
Thrombosis
Transplants & implants
Veins & arteries
Venous access
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Description
Summary: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.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.31533