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J Clin Ultrasound. 2021 Dec 28; doi: 10.1002/jcu.23114. Epub 2021 Dec 28.

Hemorrhagic shock after contrast-enhanced ultrasound-guided liver biopsy: A case report of primary hepatic angiosarcoma.

Journal of clinical ultrasound : JCU

Ling Zhou, Shi-Yan Li, Chao Chen, Jing Xu

Affiliations

  1. Department of Ultrasound, Sir Run Run Shaw Hospital, Zhejiang University, School of Medicine, Hangzhou, China.
  2. Department of Radiology, Sir Run Run Shaw Hospital, Zhejiang University, School of Medicine, Hangzhou, China.
  3. Department of Pathology, Sir Run Run Shaw Hospital, Zhejiang University, School of Medicine, Hangzhou, China.

PMID: 34964135 DOI: 10.1002/jcu.23114

Abstract

Primary hepatic angiosarcoma (PHA) is a rare, highly aggressive malignancy. There is no specificity in clinical manifestations, laboratory examinations and imaging examinations. The definitive diagnosis of PHA depends on pathological analysis. The gold standard method to obtain specimens is percutaneous transhepatic biopsy under the guidance of contrast-enhanced ultrasound (CEUS). However, CEUS-guided biopsy for PHA is controversial. If a biopsy is necessary, a comprehensive preoperative evaluation is essential. In addition, CEUS has an auxiliary value in diagnosing PHA. In this case, we present an elderly woman who underwent CEUS-guided liver mass biopsy. The patient developed hemorrhagic shock after biopsy.

© 2021 Wiley Periodicals LLC.

Keywords: biopsy; contrast agent BR1; hemangiosarcoma; liver; ultrasonography

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