[Delayed upper abdominal pain and tarry stool after transjugular liver biopsy. A 24-old man with hemophilia]

Publication

[Delayed upper abdominal pain and tarry stool after transjugular liver biopsy. A 24-old man with hemophilia]

Journal Paper/Review - Mar 28, 2007

Sawatzki Mikael, Heim M

Units

Gastroenterology/Hepatology

PubMed

17432300

Citation

Sawatzki M, Heim M. [Delayed upper abdominal pain and tarry stool after transjugular liver biopsy. A 24-old man with hemophilia]. Praxis 2007; 96:509-11.

Type

Journal Paper/Review (Deutsch)

Journal

Praxis 2007; 96

Publication Date

Mar 28, 2007

Issn Print

1661-8157

Pages

509-11

Brief description/objective

A 24-year old patient with severe haemophilia A and chronic hepatitis C developed two weeks after transjugular liver biopsy (TJLB) haemobilia with colicky upper abdominal pain, coffee ground emesis, melaena and anaemia. Abdominal ultrasound and endoscopic retrograde cholangiogram confirmed the diagnosis. After adequate factor VIII substitution and revision with a balloon catheter the patient became asymptomatic. Haemobilia is a uncommon complication after liver biopsy. This complication should be kept in mind even if the occurrence is delayed after intervention. TJLB is an established and safe method to obtain liver specimen in patients with coagulation disorders.