Pancreatitis and haemobilia due to arterioportal fistula after percutaneous liver biopsy resolved by selective arterial embolization

Eur J Gastroenterol Hepatol. 2001 Jun;13(6):727-30. doi: 10.1097/00042737-200106000-00019.

Abstract

Haemobilia and arterioportal fistula are uncommon complications secondary to percutaneous liver biopsy. We report the case of a patient who developed haemobilia and subsequently acute pancreatitis as a result of a liver biopsy. Selective hepatic angiogram showed an arterioportal fistula. Transcatheter arterial embolization successfully occluded the fistula. The patient remained asymptomatic 4 months later. We review the published literature concerning acute pancreatitis associated with haemobilia and draw conclusions for management of similar cases in the future.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Acute Disease
  • Aged
  • Angiography
  • Arteriovenous Fistula / diagnosis
  • Arteriovenous Fistula / etiology*
  • Arteriovenous Fistula / therapy*
  • Biopsy, Needle / adverse effects*
  • Cholestasis / pathology
  • Chronic Disease
  • Embolization, Therapeutic / methods
  • Female
  • Follow-Up Studies
  • Hemobilia / diagnosis
  • Hemobilia / etiology*
  • Hemobilia / therapy*
  • Hepatic Artery / abnormalities*
  • Humans
  • Pancreatitis / diagnosis
  • Pancreatitis / etiology*
  • Pancreatitis / therapy*
  • Portal Vein / abnormalities*
  • Risk Assessment
  • Treatment Outcome
  • Ultrasonography, Doppler