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英文誌(2004-)

Journal of Medical Ultrasonics

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1986 - Vol.13

Vol.13 No.05

Case Report(症例報告)

(0384 - 0388)

超音波下穿刺吸引細胞診後のHemobiliaの1例

A Case of Hemobilia After Ultrasonically Guided Aspiration Cytology

箱崎 幸也1, 白浜 龍興1, 佐藤 亮五1, 松井 治生2, 北原 周明2, 高橋 ミドリ3, 土屋 敏子3, 新保 由美子3

Yukiya HAKOZAKI1, Tatsuoki SHIRAHAMA1, Ryougo SATO1, Haruo MATSUI2, Shūmei KITAHARA2, Midori TAKAHASHI3, Toshiko TSUCHIYA3, Yumiko SHINPO3

1自衛隊中央病院内科, 2自衛隊中央病院検査課, 3三宿病院検査課

1Department of Internal Medicine, JSDF Central Hospital, 2Department of Clinical Laboratory, JSDF Central Hospital, 3Department of Clinical Laboratory, Mishuku Hospital

キーワード : Needle aspiration cytology, Ultrasound guided fine needle biopsy, Hemobilia

 A 62-year-old male was pointed out a hypoechoic mass (15×13 mm) with unclear margin in the liver with ultrasound. Hepatocellular carcinoma was suspected and aspiration cytology was performed under real-time ultrasonic guidance. The cytology revealed class-2. Next morning, he complained epigastralgia and 3 days after ultrasonically guided puncture, a lot of tarry stool was discharged. Next day, ultrasonic examination was performed and an echogenic mass with strong echoes in the gallbladder was demonstrated. We concluded that transient hemobilia was due to the ultrasonically guided fine needle aspiration biopsy. Up to now, no serious complication during and after fine needle aspiration cytology was reported. However, we should be careful about a hemobilia after the fine needle aspiration cytology.