Korean J Med.  2011 Mar;80(3):323-327.

An Intraluminal Gallbladder and Bile Duct Hematoma after a Percutaneous Biopsy of Hepatic Adenoma

Affiliations
  • 1Department of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea. young56@kyuh.co.kr
  • 2Department of General Surgery, Konyang University College of Medicine, Daejeon, Korea.

Abstract

Hepatocellular adenoma is a rare, but benign, tumor mostly found in women taking oral contraceptives. Hepatocellular adenoma must be treated when bleeding of the tumor, intraperitoneal hemorrhage, or malignant transformation occurs. A percutaneous liver biopsy is relatively safe and effective, but carries the risk of mild complications, such as pain, temporary hypotension, and bleeding, and severe complications, such as intraperitoneal bleeding, peritonitis, pneumothorax, hemothorax, other organ injury, and sepsis. We treated a 33-year-old woman with hemobilia and gallbladder hematoma following a sono-guided percutaneous liver biopsy. Complete quadrantectomy with anterior lobe resection was done after angiography and embolization of the hepatic artery.

Keyword

Hepatocellular adenoma; Liver biopsy; Hemobilia; Gallbladder hematoma

MeSH Terms

Adenoma
Adenoma, Liver Cell
Adult
Angiography
Bile
Bile Ducts
Biopsy
Contraceptives, Oral
Female
Gallbladder
Hematoma
Hemobilia
Hemorrhage
Hemothorax
Hepatic Artery
Humans
Hypotension
Liver
Peritonitis
Pneumothorax
Sepsis
Contraceptives, Oral
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