Intercostal Artery Pseudoaneurysm after Ultrasound-Guided Liver Biopsy: A Case Report and Review of the Literature

Zsoka Vajtai, Nicole Roy

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

We present a 58-year-old woman with a right intercostal artery pseudoaneurysm after percutaneous ultrasound (US)-guided liver biopsy. The patient presented 6 days after liver biopsy with a painful, pulsatile right-sided chest wall mass at the site of biopsy needle insertion. Intercostal artery pseudoaneurysm was diagnosed with color Doppler US. Successful treatment with percutaneous US-guided injection of thrombin resulted in complete thrombosis and closure of the pseudoaneurysm. Only 12 previous cases of intercostal artery pseudoaneurysm have been reported in the English-language literature, and this is the first reported case resulting from percutaneous liver biopsy. Given how frequently percutaneous liver biopsies are performed, it is important to raise awareness of this potentially serious complication.

Original languageEnglish (US)
Pages (from-to)63-65
Number of pages3
JournalUltrasound quarterly
Volume31
Issue number1
DOIs
StatePublished - Mar 4 2015

Keywords

  • intercostal approach
  • intercostal artery pseudoaneurysm
  • intercostal pseudoaneurysm
  • intercostal pseudoaneurysm treatment
  • liver biopsy complication
  • pseudoaneurysm
  • pseudoaneurysm treatment
  • thrombin injection
  • ultrasound-guided liver biopsy
  • ultrasound-guided thrombin injection

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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