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    Bile leak after transjugular liver biopsy in a cholecystectomy patient

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    Author
    Alharthi, O.
    Etezadi, V.
    Date
    2018
    Journal
    Radiology Case Reports
    Publisher
    Elsevier Inc
    Type
    Article
    
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    https://dx.doi.org/10.1016/j.radcr.2018.07.026
    Abstract
    Introduction: Transjugular liver biopsy (TJLB) is a minimally invasive procedure performed to obtain hepatic tissue in patients whom standard percutaneous liver biopsy is contraindicated due to abnormal coagulation profile and/or severe ascites. Additionally, it has the advantage of simultaneously measuring the hepatic venous pressures. Case Presentation: 61-year-old male with history of pulmonary fibrosis, cholecystectomy and Hepatitis C underwent transjugular liver biopsy (TJLB) as part of his lung transplant workup. Shortly after the procedure, the patient developed sharp right upper abdominal pain. Immediate CT of the abdomen and pelvis showed small foci of contrast and gas in the gallbladder fossa and porta hepatis indicating hepatic capsular penetration without perihepatic hematoma or other evidence of hemorrhage. Follow up CT of the abdomen and HIDA scan confirmed the presence of bile leak. Sphincterotomy and stent placement through ERCP was performed. Conclusion: Bile leak after a TJLB is a rare, however, potential complication. ERCP and biliary stent seems an effective treatment for persistent symptomatic bile leak post TJLB. © 2018
    Keyword
    Bile leak
    Biopsy
    Liver
    Transjugular
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85053184043&doi=10.1016%2fj.radcr.2018.07.026&partnerID=40&md5=6f989424a92374d1af220055863e01fc; http://hdl.handle.net/10713/8769
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.radcr.2018.07.026
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    UMB Open Access Articles 2018

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