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Transjugular Liver Biopsy in a Multiple Myeloma Patient with Hepatomegaly, Portal Hypertension and Miliary Liver Lesions: A Case Report
Adrian J. Gonzalez-Aguirre1*, Oscar Lin2, Christina Cho3, Alexander M. Lesokhin3,4 and Majid Maybody11Radiology Department, Interventional Radiology Service, Memorial Sloan Kettering Cancer Center, York Avenue, New York, NY 10065, USA
2Pathology Department, Memorial Sloan Kettering Cancer Center, York Avenue, New York, NY 10065, USA
3Department of Medicine, Memorial Sloan Kettering Cancer Center, York Avenue, New York, NY 10065, USA
4Weill Department of Medicine, Weill Cornell Medical College, East 68th Street, Box 130, New York, NY 10065, USA
- *Corresponding Author:
- Adrian J. Gonzalez-Aguirre
Radiology Department
Interventional Radiology Service
Memorial Sloan Kettering Cancer Center
York Avenue, New York
NY 10065, USA
Tel: 1-646-593-0430
E-mail: gonzala2@mskcc.org;
Received date: January 22, 2016 Accepted date: February 02, 2016 Published date: February 10, 2016
Citation: Gonzalez-Aguirre AJ, Lin O, Cho C, Lesokhin AM, Maybody M (2016) Transjugular Liver Biopsy in a Multiple Myeloma Patient with Hepatomegaly, Portal Hypertension and “Miliary” Liver Lesions: A Case Report. J Gastrointest Dig Syst 6:390. doi:10.4172/2161-069X. 1000390
Copyright: © 2016 Gonzalez-Aguirre AJ, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
The present report describes a 50-year-old female recently diagnosed with multiple myeloma who presented with hepatosplenomegaly, miliary- type hyper enhancing liver tumors, and esophageal varices. We performed a transjugular liver biopsy when liver biopsy was requested to evaluate the miliary-type liver lesions. This was done to lower the risk of bleeding given the patient’s anemia and probable portal hypertension. This approach was successful in safely providing diagnostic samples for surgical pathology and flow cytometry to assess the nature of focal miliary liver lesions. It also proved portal hypertension.
