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Semin intervent Radiol 2020; 37(04): 430-433
DOI: 10.1055/s-0040-1715870
Morbidity & Mortality

Embolization of Arterial-Portal Fistula to Treat Associated Hemobilia after Transjugular Liver Biopsy

Aaron D. Losey
1   Division of Interventional Radiology, Department of Radiology and Biomedical Imaging, University of California, San Francisco, California
,
R. Peter Lokken
1   Division of Interventional Radiology, Department of Radiology and Biomedical Imaging, University of California, San Francisco, California
,
K. Pallav Kolli
1   Division of Interventional Radiology, Department of Radiology and Biomedical Imaging, University of California, San Francisco, California
,
Robert K. Kerlan
1   Division of Interventional Radiology, Department of Radiology and Biomedical Imaging, University of California, San Francisco, California
,
Andrew G. Taylor
1   Division of Interventional Radiology, Department of Radiology and Biomedical Imaging, University of California, San Francisco, California
,
Maureen P. Kohi
1   Division of Interventional Radiology, Department of Radiology and Biomedical Imaging, University of California, San Francisco, California
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A complication of transjugular liver biopsy is intrahepatic arterial injury resulting in arterial-biliary fistula and hemobilia. Imaging findings in patients with iatrogenic hemobilia are varied. While many cases can be managed conservatively, rapid or persistent bleeding may require intervention. Herein, we present a case of hemobilia after transjugular liver biopsy where an associated iatrogenic arterial-portal fistula was the only imaging finding visualized. The authors further provide an overview of the risks associated with transjugular liver biopsy, typical imaging findings, and management options.



Publication History

Article published online:
01 October 2020

© 2020. Thieme. All rights reserved.

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