Download PROCEDURE: Nonfocal ultrasound

PGLIBX
PROCEDURE: Nonfocal ultrasound-guided liver biopsy
CLINICAL INDICATION: Hepatitis C
PHYSICIAN: Dr. Paul Gryzenia
MEDICATIONS: 0.5 mg Versed, 50 mcg fentanyl, subcutaneous 2 % lidocaine.
COMPLICATIONS: None immediate
RADIOLOGIST INTRASERVICE TIME/CONSCIOUS SEDATION TIME: _ minutes. The patient
was monitored throughout the procedure by the IR nurse. I was personally present in the above
mentioned conscious sedation time.
PROCEDURE AND FINDINGS: After discussing the risks and benefits of the procedure with the
patient, oral and written consent was obtained. All questions were answered.
The patient was placed in a left lateral decubitus position and an initial ultrasound of the liver was
performed. A spot was chosen for entering the right lobe of the liver and this area was marked,
prepped utilizing maximum sterile barrier technique. The skin was then anesthetized with a
copious amount of 2% lidocaine. Subsequently, under direct sonographic visualization, a 5 cm
17 gauge introducer needle was advanced into the right lobe of the liver. Three 18 gauge core
biopsy samples were obtained and submitted for pathology.
The needle was removed and hemostasis was achieved with moderate manual compression.
Postbiopsy sonographic images demonstrate no evidence of subcapsular hematoma. No fluid
was identified within Morison's pouch.
The patient tolerated the procedure well without immediate complication.
IMPRESSION:
 Technically successful nonfocal sonographic-guided liver biopsy. Samples submitted to
pathology for analysis.