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Liver Biopsy
A liver biopsy is a procedure in which a small needle is inserted into the liver to collect a tissue sample. The tissue is then analyzed in a laboratory to help doctors diagnose a variety of disorders and diseases in the liver.
Introduction
Liver biopsy is the gold standard for assessment of hepatic fibrosis although it is associated with many complications. We reported a 28-year-old chronic HCV patient who developed gall bladder hematoma with hemobilia and melena after liver biopsy.
Clinical presentation ranges from chronic anemia to rapid massive bleeding with hematemsis and/or melena and rarely patient may present with only hematochezia.
A patient underwent a percutaneous liver biopsy for enrollment in the interferon based therapy according to the national guidelines. Three days after liver biopsy the patient experienced severe colicky right hypochondrial pain associated with low grade fever, vomiting and melena. A clinical suspicion of post liver biopsy hemobilia due to gall bladder injury and hematoma was proposed.The patient was maintained on general tonics to achieve a target hemoglobin > 12 g/dL till he began to receive pegylated interferon therapy.
Diagnosis
Diagnosis is usually suspected in patients with history of recent liver biopsy. Radiological modalities can help in diagnosis.
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