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Tokai Journal of Experimental and Clinical Medicine 2010-Sep

A patient with obstructive jaundice due to bleeding in the common bile duct after ultrasound-guided liver biopsy.

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Muneki Igarashi
Yoshihiro Tei
Fumiyuki Akino
Hiroto Tajima
Atsushi Ushiyama
Suguru Watanabe
Jun Koike
Tomoyuki Kurumada
Tetsuya Mine

Keywords

Abstract

A-63-year-old man was referred to our hospital for interferon therapy to treat chronic hepatitis C. The patient complained of right upper abdominal pain 1 hour after the ultrasound-guided liver biopsy. Bleeding in the gallbladder and the common bile duct were found on emergency CT. Obstructive jaundice due to the common bile duct hematoma was diagnosed, and endoscopic retrograde cholangiopancreatography(ERCP) was performed, and a filling defect thought to be a hematoma was seen in the bile duct on cholangiography. The hematoma in the bile duct was extracted after endoscopic sphincteroyomy.

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