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Case Reports
Septic shock and bacteremia associated with laparoscopic guided liver biopsy, report on two cases.
- M Domingo, J Grau, A Vázquez, A Díez, J Coll, and J Vivancos.
- Department of Internal Medicine, Hospital General Nuestra Señora de la Esperanza, Autonomous University of Barcelona, Spain.
- Endoscopy. 1989 Sep 1;21(5):240-1.
AbstractTwo cases of infectious complications after liver biopsy are reported. Klebsiella pneumoniae and beta-hemolytic Streptococcus were cultured. In both cases the biopsy was obtained under laparoscopic control. A 28-year-old woman with liver cirrhosis died 24 hours after liver biopsy as a result of septic shock and disseminated intravascular coagulation. A 67-year-old man with hepatic fibrosis suffered from transient bacteremia and recovered uneventfully after antibiotic therapy. In these patients, there was evidence to implicate pre-existing cholangitis as factor predisposing to postbiopsy bacteremia.
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