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.
Haemobilia is a medical condition of bleeding into the biliary tree. Haemobilia occurs when there is a fistula between a vessel of the splanchnic circulation and the intrahepatic or extrahepatic biliary system. It can present as acute upper gastrointestinal(UGI) bleeding.
Haemobilia Following Percutaneous Liver Biopsy
A 32 years old man, previously followed for chronic alcoholic pancreatitis underwent a percutaneous liver biopsy for a suspect liver image. At that time, gallbladder had a normal aspect on MRI (hyposignal, panel 1A) and on CT (hypodensitiy, panel 2A).
Histological examination of the tumour biopsy revealed a hepatocellular carcinoma in an otherwise healthy liver.
Ten days after biopsy, he suddenly felt intense right-sided hypochondriac pain with liver enzyme elevation (15N), suggesting biliary colic.
New imaging detected haemobilia (hypersignal on RMI, panel 1B and hyperdensity on CT, panel 2B). Pain and cytolysis were spontaneously regressive under antalgic treatment.