Skip to main content
Log in

Complications of percutaneous liver biopsy in infants and children

  • Original Paper
  • Published:
European Journal of Pediatrics Aims and scope Submit manuscript

Abstract

Abstract

In this study, 144 consecutive percutaneous liver biopsies performed with a 1.6 mm Menghini needle, during a 2-year period were reviewed. All the children were aged under 15 years, 57 patients less than 1 year and 87 more than 1 year. All biopsies were adequate and the mean number of portal tracts examined was 17.6 per biopsy (14.3 in patients weighing less than 10 kg and 19.1 in the others). There were no deaths and we observed only bleeding complications. In patients with normal coagulation (128 cases), 1 bleeding requiring transfusion occurred; and in patients with abnormal coagulation (16 cases), we observed 2 bleeding cases requiring transfusion.

Conclusion

Percutaneous liver biopsy can be performed with 1.6 mm needles in children. For increased safety, ultrasound-guided biopsies are recommended.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Abbreviations

PLB :

Percutaneous liver biopsy

References

  1. Chivrac D, Capron JP (1978) Les complications de la ponction biopsie hépatique transcutanéc. Gastroenterol Clin Biol 2: 843–849

    PubMed  Google Scholar 

  2. Cohen MB, A-Kader HH, Lambers D, Heubi JE (1992) Complications of percutaneous liver biopsy in children. Gastroenterology 102: 629–632

    PubMed  Google Scholar 

  3. Degos F, Benhamou P (1993) Quélle modalités choisir pour une ponction biopsie du foie? Gastroenterol Clin Biol 17: 197–199

    PubMed  Google Scholar 

  4. Degos F, Degott C, Benhamou JP (1991) Liver biopsy. In: McIntyre N, Benhamou JP, Bircher J, Rizetto M, Rodés J (eds) Oxford textbook of clinical hepatology. Oxford University Press. Oxford, pp 320–324

    Google Scholar 

  5. Furuya KN, Burrows PE, Phillips MJ, Roberts EA (1992) Transjugular liver biopsy in children. Hepatology 15: 1036–1042

    PubMed  Google Scholar 

  6. Gonzalez-Vallina R, Alonso EM, Rand E, Black DD, Whitington PF (1993) Outpatient percutaneous liver biopsy in children. J Pediatr Gastroenterol Nutr 17: 370–375

    PubMed  Google Scholar 

  7. Hadchouel M (1992) Paucity of interlobular bile ducts. Sem Diagn Pathol 9, 1: 24–30

    Google Scholar 

  8. Lichtman S, Guzman C, Moore D, Weber JL, Roberts EA (1987) Morbidity after percutaneous liver biopsy. Arch Dis Child 62: 901–904

    PubMed  Google Scholar 

  9. Livraghi I, Lombardi C, Mascia G (1983) Bile peritonitis: another complication after fine needle biopsy. Diagn Imaging 53: 33–35

    Google Scholar 

  10. Mowat AP (1994) Liver disorders in childhood. Butterworth-Heinemann, London, pp 463–466

    Google Scholar 

  11. Piccinino F, Sagneli E, Pasquale G, Giusti G (1986) Complications following percutaneous liver biopsy: a multicenter retrospective study on 68276 biopsies. J Hepatol 2: 165–173

    PubMed  Google Scholar 

  12. Walker WA, Krivil W, Sharp HL (1967) Needle biopsy of the liver in infancy and childhood. A safe diagnostic aid in liver disease. Pediatrics 6: 946–950

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lachaux, A., Le Gall, C., Chambon, M. et al. Complications of percutaneous liver biopsy in infants and children. Eur J Pediatr 154, 621–623 (1995). https://doi.org/10.1007/BF02079063

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02079063

Key words

Navigation