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Endoscopy 1989; 21(5): 240-241
DOI: 10.1055/s-2007-1012958
© Georg Thieme Verlag KG Stuttgart · New York

Septic Shock and Bacteremia Associated with Laparoscopic Guided Liver Biopsy, Report on Two Cases

M. Domingo, J. Grau, A. Vázquez, A. Díez, J. Coll, J. Vivancos
  • Department of Internal Medicine and Unit of Gastroenterology, Hospital General Nuestra Señora de la Esperanza, Autonomous University of Barcelona, Barcelona, Spain
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Publikationsdatum:
17. März 2008 (online)

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Summary

Two cases of infectious complications after liver biopsy are reported. Klebsiella pneumoniae and β-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.

Key words:

Laparoscopy - Liver biopsy - Septicemia - Bacteremia

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