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Case Report
Acute Liver Failure Secondary to Hepatic Infiltration of Malignant Melanoma
Yujin Lee, Jaekwang Lee, Hyunsoo Kim, Changkeun Park, Jaekwon Jung, Daejin Kim, Yun Jin Chung, Hanjun Ryu
Clin Endosc 2022;55(2):287-291.   Published online April 1, 2021
DOI: https://doi.org/10.5946/ce.2020.272
AbstractAbstract PDFPubReaderePub
Acute liver failure due to malignant melanoma is uncommon. We presents a case of acute liver failure secondary to hepatic infiltration of a malignant melanoma. An 86-year-old man was admitted with elevated liver enzymes and an increased lactate dehydrogenase level. His condition progressed to acute liver failure, but the etiology of liver failure was unclear. Esophagogastroduodenoscopy was performed to evaluate dyspepsia, which showed signs indicative of malignant melanoma. Based on the endoscopy findings and elevated liver enzyme levels, liver biopsy was performed to confirm the presence of malignant melanoma. Hepatic infiltration of malignant melanoma was observed histologically. However, massive and diffuse liver metastasis is very rare and difficult to identify on imaging studies. If the etiology of liver failure is unclear, diffuse metastatic melanoma infiltration should be considered as differential diagnosis. Early liver biopsy can help to clarify the diagnosis.

Citations

Citations to this article as recorded by  
  • HEPATOPATHY SECONDARY TO INFILTRATION BY MALIGNANT MELANOMA: DIAGNOSTIC VALUE OF LIVER BIOPSY
    Alejandro García Martínez, Álvaro Morales Prado, Jorge Martínez-Echevarría Gil-Delgado, Daniel Mateos Millán
    Revista Española de Enfermedades Digestivas.2024;[Epub]     CrossRef
  • Metastatic melanoma: an unexpected cause of acute liver failure
    Robert S. O’Neill, Phillip Leaver, Connor Ryan, Sharron Liang, Santosh Sanagapalli, Rasha Cosman
    Clinical Journal of Gastroenterology.2024;[Epub]     CrossRef
  • Tumor lysis syndrome with hepatic failure- A rare presentation of undiagnosed metastatic melanoma
    Nicholas Cochran-Caggiano, Brandon Zaffuto, Ryan Dean
    JEM Reports.2023; 2(1): 100009.     CrossRef
  • Acute liver failure secondary to malignant infiltration: A single center experience
    Rocío González Grande, Ana Bravo Aranda, Inmaculada Santaella Leiva, Susana López Ortega, Miguel Jiménez Pérez
    Seminars in Oncology.2023; 50(3-5): 71.     CrossRef
  • 4,617 View
  • 153 Download
  • 3 Web of Science
  • 4 Crossref
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Original Articles
Superior Specimen and Diagnostic Accuracy with Endoscopic Ultrasound-Guided Liver Biopsies Using 19-Gauge versus 22-Gauge Core Needles
Rucha M. Shah, Jason Schmidt, Elizabeth John, Sheila Rastegari, Priyanka Acharya, Prashant Kedia
Clin Endosc 2021;54(5):739-744.   Published online November 13, 2020
DOI: https://doi.org/10.5946/ce.2020.212
AbstractAbstract PDFPubReaderePub
Background
/Aims: Endoscopic ultrasound-guided liver biopsy (EUS-LB) is an effective and safe method of procuring liver tissue. The aims of this study were to assess and compare the outcomes and tissue adequacy of a single-pass, single-actuation, wet suction technique between 19 G and 22 G needles in patients undergoing EUS-LB.
Methods
We performed a prospective case series study of 20 patients undergoing EUS-LB at a single center between September 2017 and April 2020. The primary objective was to evaluate differences in sample adequacy via a single actuation wet suction technique between a 19 G core needle and a 22 G core needle. Adequacy was gauged by cumulative core biopsy length and the number of portal tracts visualized.
Results
The 19 G needle provided a longer core length (2.5 cm vs. 1.2 cm, p<0.0001), more complete portal tracts (5.8 vs. 1.7, p<0.0001), more total tracts (8.8 vs. 3, p<0.0001), and a longer, intact, fragment length (0.75 cm vs. 0.32 cm, p<0.0006). The 19 G needle was superior in providing adequate (60% vs. 5%, p<0.001) and diagnostic pathologic samples (85% vs. 10%, p<0.001).
Conclusions
A single-pass, single-actuation, wet suction technique using a 19 G needle is superior to that using a 22 G needle for tissue acquisition and sample adequacy in EUS-LB.

Citations

Citations to this article as recorded by  
  • Comparison of diagnostic outcomes, safety, and cost of Franseen-tip 19G versus 22G needles for endoscopic ultrasound-guided liver biopsies
    Ankit Dalal, Nagesh Kamat, Gaurav Patil, Amol Vadgaonkar, Sanil Parekh, Sehajad Vora, Amit Maydeo
    Endoscopy International Open.2024; 12(02): E291.     CrossRef
  • Endoscopic ultrasound-guided tissue acquisition for the diagnosis of focal liver lesion
    Alina Tantău, Cosmina Sutac, Anamaria Pop, Marcel Tantău
    World Journal of Radiology.2024; 16(4): 72.     CrossRef
  • EUS-guided left lobe liver biopsy: Safer modality with similar diagnostic yield as right lobe: a pilot study
    Mithun Sharma, Sundeep Lakhtakia, Nitin Jagtap, Anuradha Sekaran, Rakesh Kalapala, Basha Jahangeer, Anand Kulkarni, Mohan Ramchandani, Rajesh Gupta, Swapna Samudraala, Juhi Khanna, Padaki Nagaraja, Sowmya Iyengar, Baker Ali Gora, Guduru Venkat Rao, Nagesh
    Endoscopy International Open.2023; 11(02): E172.     CrossRef
  • Endoscopic ultrasound-guided liver biopsy using a single-pass, slow-pull technique with a 19-G Franseen tip fine-needle biopsy needle: A prospective study
    Praveer Rai, Abdul Majeed, Pankaj Kumar, Mayank Rajput, Amit Goel, Ram Naval Rao
    Indian Journal of Gastroenterology.2023; 42(3): 418.     CrossRef
  • Quality of Tissue Samples Obtained by Endoscopic Ultrasound-Guided Liver Biopsy: A Randomized, Controlled Clinical Trial
    José Lariño-Noia, Javier Fernández-Castroagudín, Daniel de la Iglesia-García, Héctor Lázare, Laura Nieto, Sol Porto, Nicolau Vallejo-Senra, Esther Molina, Alba San Bruno, Xurxo Martínez-Seara, Julio Iglesias-García, Silvia García-Acuña, J. Enrique Domíngu
    American Journal of Gastroenterology.2023;[Epub]     CrossRef
  • Distinct ways to perform a liver biopsy: The core technique setups and updated understanding of these modalities
    Chao Sun, Xingliang Zhao, Lei Shi, Xiaofei Fan, Xiaolong Qi
    Endoscopic Ultrasound.2023;[Epub]     CrossRef
  • Role of endoscopic ultrasound-guided liver biopsy: a meta-analysis
    Keyu Zeng, Zhenpeng Jiang, Jie Yang, Kefei Chen, Qiang Lu
    Scandinavian Journal of Gastroenterology.2022; 57(5): 545.     CrossRef
  • Update on endoscopic ultrasound-guided liver biopsy
    Shiva Rangwani, Devarshi R Ardeshna, Khalid Mumtaz, Sean G Kelly, Samuel Y Han, Somashekar G Krishna
    World Journal of Gastroenterology.2022; 28(28): 3586.     CrossRef
  • Diagnostic and interventional EUS in hepatology: An updated review
    Vaneet Jearth, Sridhar Sundaram, SurinderSingh Rana
    Endoscopic Ultrasound.2022; 11(5): 355.     CrossRef
  • 4,154 View
  • 89 Download
  • 13 Web of Science
  • 9 Crossref
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Endoscopic Ultrasound-Guided, Percutaneous, and Transjugular Liver Biopsy: A Comparative Systematic Review and Meta-Analysis
Thomas R. McCarty, Ahmad Najdat Bazarbashi, Basile Njei, Marvin Ryou, Harry R. Aslanian, Thiruvengadam Muniraj
Clin Endosc 2020;53(5):583-593.   Published online September 29, 2020
DOI: https://doi.org/10.5946/ce.2019.211
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background
/Aims: Percutaneous liver biopsy (PCLB) or transjugular liver biopsy (TJLB) have traditionally been performed to obtain a sample of hepatic tissue; however, endoscopic ultrasound-guided liver biopsy (EUSLB) has become an attractive alternative. The aim of this study was to compare the efficacy and safety of EUSLB, PCLB, and TJLB.
Methods
Search strategies were developed in accordance with PRISMA and MOOSE guidelines. Major outcomes included the following: adequacy of biopsy specimens (i.e., complete portal triads [CPT], total specimen length [TSL] in mm, and length of longest piece [LLP]) in mm), and rate of adverse events. Only studies comparing all biopsy approaches (i.e., EUSLB, PCLB, and TJLB) were included.
Results
Five studies (EUSLB [n=301]; PCLB [n=176]; and TJLB [n=179]) were included. Biopsy cumulative adequacy rates for EUSLB, PCLB, and TJLB were 93.51%, 98.27%, and 97.61%, respectively. Based on the subgroup analysis limited to EUS biopsy needles in current clinical practice, there was no difference in biopsy adequacy or adverse events for EUSLB compared to PCLB and TJLB (all p>0.050). A comparison of EUSLB and PCLB revealed no difference between specimens regarding both CPT (p=0.079) and LLP (p=0.085); however, a longer TSL (p<0.001) was observed. Compared to TJLB, EUSLB showed no difference in LLP (p=0.351), fewer CPT (p=0.042), and longer TSL (p=0.005).
Conclusions
EUSLB appears to be a safe, minimally invasive procedure that is comparable to PCLB and TJLB regarding biopsy specimens obtained and rate of adverse events associated with each method.

Citations

Citations to this article as recorded by  
  • Endoscopic procedures in hepatology: Current trends and new developments
    Wim Laleman, Emma Vanderschueren, Zain Seyad Mehdi, Reiner Wiest, Andres Cardenas, Jonel Trebicka
    Journal of Hepatology.2024; 80(1): 124.     CrossRef
  • Gut-liver axis: Pathophysiological concepts and medical perspective in chronic liver diseases
    Susana G. Rodrigues, Schalk van der Merwe, Aleksander Krag, Reiner Wiest
    Seminars in Immunology.2024; 71: 101859.     CrossRef
  • Comparison of diagnostic outcomes, safety, and cost of Franseen-tip 19G versus 22G needles for endoscopic ultrasound-guided liver biopsies
    Ankit Dalal, Nagesh Kamat, Gaurav Patil, Amol Vadgaonkar, Sanil Parekh, Sehajad Vora, Amit Maydeo
    Endoscopy International Open.2024; 12(02): E291.     CrossRef
  • Endoscopic ultrasound-guided liver biopsy in liver transplant recipients: A preliminary experience
    Wei Rao, Yue-Ping Jiang, Jin-Zhen Cai, Man Xie
    Hepatobiliary & Pancreatic Diseases International.2024;[Epub]     CrossRef
  • Comparison of Diagnostic Accuracy and Diagnostic Adequacy Between Endoscopic Ultrasound-Guided and Percutaneous Liver Biopsies: A Meta-Analysis of Randomized Controlled Trials and Observational Studies
    Mansoor Ahmad, Taslova Tahsin Abedin, Faria Khilji, Kinan Obeidat, Lam Vinh Sieu, Sandipkumar S Chaudhari, Divine Besong Arrey Agbor, Danish Allahwala
    Cureus.2024;[Epub]     CrossRef
  • How to incorporate endohepatology into your bariatric practice
    Pichamol Jirapinyo
    iGIE.2024; 3(2): 293.     CrossRef
  • Ultrasound-guided percutaneous liver biopsy: A review of what operators need to know
    Husain Alturkistani, Abdullah H. Alsergani, Meshari Alzeer, Anas Alturkistani, Renad Zaini, Salem Bauones
    Medicine.2024; 103(30): e38673.     CrossRef
  • Comparative accuracy of endosonographic shear wave elastography and transcutaneous liver stiffness measurement: a pilot study
    Divyanshoo R. Kohli, Daniel Mettman, Nevene Andraws, Erin Haer, Jaime Porter, Ozlem Ulusurac, Steven Ullery, Madhav Desai, Mohammad S. Siddiqui, Prateek Sharma
    Gastrointestinal Endoscopy.2023; 97(1): 35.     CrossRef
  • Advances in Endoscopic Ultrasound (EUS)-Guided Liver Biopsy
    Daryl Ramai, Viraaj Pannu, Antonio Facciorusso, Banreet Dhindsa, Joseph Heaton, Andrew Ofosu, Saurabh Chandan, Marcello Maida, Barbara Lattanzi, Eduardo Rodriguez, Vicky H. Bhagat, Jayanta Samanta, Monique T. Barakat
    Diagnostics.2023; 13(4): 784.     CrossRef
  • Endoscopic Advances in Hepatology
    Emma Vanderschueren, Jonel Trebicka, Wim Laleman
    Seminars in Liver Disease.2023; 43(02): 176.     CrossRef
  • Quality of Tissue Samples Obtained by Endoscopic Ultrasound-Guided Liver Biopsy: A Randomized, Controlled Clinical Trial
    José Lariño-Noia, Javier Fernández-Castroagudín, Daniel de la Iglesia-García, Héctor Lázare, Laura Nieto, Sol Porto, Nicolau Vallejo-Senra, Esther Molina, Alba San Bruno, Xurxo Martínez-Seara, Julio Iglesias-García, Silvia García-Acuña, J. Enrique Domíngu
    American Journal of Gastroenterology.2023;[Epub]     CrossRef
  • Endo-hepatology: Updates for the clinical hepatologist
    Frances Lee, Tarun Rustagi, R. Todd Frederick
    Clinical Liver Disease.2023;[Epub]     CrossRef
  • Technical Success, Sample Adequacy, and Complications of  Pediatric Transjugular Liver Biopsy: A Systematic Review and Meta-Analysis
    Karen Smayra, Shahid Miangul, Nathanael Yap, Ao Shi, Fatma Abdulsalam, Maamoun Adra, Hayato Nakanishi, Jake Ball, Tara A. Betts, Christian A. Than, Aneeta Parthipun
    Digestive Diseases and Sciences.2023; 68(10): 3846.     CrossRef
  • Role of endoscopic ultrasound and endoscopic ultrasound-guided tissue acquisition in diagnosing hepatic focal lesions
    Hussein Hassan Okasha, Hanane Delsa, Abdelmoneim Alsawaf, Ahmed Morad Hashim, Hani M Khattab, Dalia Abdelfatah, Abeer Abdellatef, Amr Albitar
    World Journal of Methodology.2023; 13(4): 287.     CrossRef
  • Chinese expert consensus on multidisciplinary diagnosis and treatment of pancreatic neuroendocrine liver metastases
    Yihebali Chi, Liming Jiang, Susheng Shi, Shun He, Chunmei Bai, Dan Cao, Jianqiang Cai, Qichen Chen, Xiao Chen, Yiqiao Deng, Shunda Du, Zhen Huang, Li Huo, Yuan Ji, Jie Li, Wenhui Lou, Jie Luo, Xueying Shi, Lijie Song, Bei Sun, Huangying Tan, Feng Wang, Xu
    Journal of Pancreatology.2023; 6(4): 139.     CrossRef
  • Distinct ways to perform a liver biopsy: The core technique setups and updated understanding of these modalities
    Chao Sun, Xingliang Zhao, Lei Shi, Xiaofei Fan, Xiaolong Qi
    Endoscopic Ultrasound.2023;[Epub]     CrossRef
  • Endo-Hepatology: The Buzz Goes Much beyond Liver Biopsy—A Narrative Review
    Rajesh Puri, Zubin Sharma, Swapnil Dhampalwar, Abhishek Kathuria, Bimal Sahu
    Journal of Digestive Endoscopy.2023; 14(04): 227.     CrossRef
  • Diagnostic yield of endoscopic ultrasound-guided liver biopsy in comparison to percutaneous liver biopsy: a systematic review and meta-analysis
    Antonio Facciorusso, Stefano Francesco Crinò, Daryl Ramai, Carlo Fabbri, Benedetto Mangiavillano, Andrea Lisotti, Nicola Muscatiello, Christian Cotsoglou, Pietro Fusaroli
    Expert Review of Gastroenterology & Hepatology.2022; 16(1): 51.     CrossRef
  • Endoscopic Ultrasound-Guided Liver Biopsy Using Newer 19G FNB Needles Compared to Percutaneous and Transjugular Liver Biopsy: A Tertiary Center Experience
    Harsh K. Patel, George Therapondos, Gretchen Galliano, Ricardo. Romero, John Evans, Ari Cohen, Muhammad F. Mubarak, Janak N. Shah, Abdul Hamid El Chafic
    Techniques and Innovations in Gastrointestinal Endoscopy.2022; 24(2): 127.     CrossRef
  • Role of endoscopic ultrasound-guided liver biopsy: a meta-analysis
    Keyu Zeng, Zhenpeng Jiang, Jie Yang, Kefei Chen, Qiang Lu
    Scandinavian Journal of Gastroenterology.2022; 57(5): 545.     CrossRef
  • Endoscopic ultrasound guided interventions in the management of pancreatic cancer
    Tossapol Kerdsirichairat, Eun Ji Shin
    World Journal of Gastrointestinal Endoscopy.2022; 14(4): 191.     CrossRef
  • Endohepatology – current status
    Jerome C. Edelson, Natalie E. Mitchell, Don C. Rockey
    Current Opinion in Gastroenterology.2022; 38(3): 216.     CrossRef
  • Diagnostic and interventional EUS in hepatology: An updated review
    Vaneet Jearth, Sridhar Sundaram, SurinderSingh Rana
    Endoscopic Ultrasound.2022; 11(5): 355.     CrossRef
  • A Gene Expression Signature to Select Hepatocellular Carcinoma Patients for Liver Transplantation
    Hugo Pinto-Marques, Joana Cardoso, Sílvia Silva, João L. Neto, Maria Gonçalves-Reis, Daniela Proença, Marta Mesquita, André Manso, Sara Carapeta, Mafalda Sobral, Antonio Figueiredo, Clara Rodrigues, Adelaide Milheiro, Ana Carvalho, Rui Perdigoto, Eduardo
    Annals of Surgery.2022; 276(5): 868.     CrossRef
  • EUS-guided versus percutaneous liver biopsy: A comprehensive review and meta-analysis of outcomes
    Saurabh Chandan, Smit Deliwala, Shahab R. Khan, Babu P. Mohan, Banreet S. Dhindsa, Jay Bapaye, Hemant Goyal, Lena L. Kassab, Faisal Kamal, Harlan R. Sayles, Gursimran S. Kochhar, Douglas G. Adler
    Endoscopic Ultrasound.2022;[Epub]     CrossRef
  • Endo‐hepatology: The changing paradigm of endoscopic ultrasound in cirrhosis
    Achintya Dinesh Singh, Ahmad Najdat Bazarbashi, Christina C. Lindenmeyer
    Clinical Liver Disease.2022; 20(6): 209.     CrossRef
  • Feasibility and Safety of Transjugular Liver Biopsy for Japanese Patients with Chronic Liver Diseases
    Makoto Iijima, Takahiro Arisaka, Akira Yamamiya, Keiichi Tominaga, Kazunori Nagashima, Akira Kanamori, Satoshi Masuyama, Yuichi Majima, Kenichi Goda, Kazuyuki Ishida, Atsushi Irisawa
    Diagnostics.2021; 11(1): 131.     CrossRef
  • Editors' Choice of Noteworthy Clinical Endoscopy Publications in the First Decade
    Gwang Ha Kim, Kwang An Kwon, Do Hyun Park, Jimin Han
    Clinical Endoscopy.2021; 54(5): 633.     CrossRef
  • Role of Endoscopic Ultrasound in Liver Disease: Where Do We Stand?
    Tajana Pavic, Ivana Mikolasevic, Dominik Kralj, Nina Blazevic, Anita Skrtic, Ivan Budimir, Ivan Lerotic, Davor Hrabar
    Diagnostics.2021; 11(11): 2021.     CrossRef
  • 6,737 View
  • 181 Download
  • 24 Web of Science
  • 29 Crossref
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A Case of Acute Cholangitis with Intraluminal Gallbladder Hematoma after Percutaneous Liver Biopsy
Sang Hoon Lee, M.D., Tae Nyeun Kim, M.D., Jun Young Lee, M.D., Hee Jung Moon, M.D., Jong Ryul Eun, M.D., Byung Ik Jang, M.D.
Korean J Gastrointest Endosc 2007;35(4):277-280.   Published online October 30, 2007
AbstractAbstract PDF
Percutaneous liver biopsy is valuable for making the diagnosis and follow-up of many liver diseases. Complications after ultrasonography-guided liver biopsy are rare, but a few serious complications have been reported. We report here on a 43-year-old man with acute cholangitis and gallbladder hematoma secondary to hemobilia; these occurred 4 days after performing ultrasonography guided percutaneous liver biopsy for the evaluation of multiple liver nodules. (Korean J Gastrointest Endosc 2007;35: 277-280)
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증례 : 복강경 직시하 간생검으로 확인된 간자반병 1예 ( Case Reports : A Case of Peliosis Hepatis , Diagnosed by Peritoneoscopic Liver Biopsy )
Korean J Gastrointest Endosc 1995;15(1):110-117.   Published online November 30, 1994
AbstractAbstract PDF
Peliosis hepatis is characterized by the presence in the liver of blood-filled cavities, which may or may not be lined with sinusoidal cells. The individual cysts or cavities usually do not exceed several centimeters in diameter. The cysts are typically continuous with adjacent, more normal sinusoids, and they sometimes can be seen in continuity with hepatic venous tributaries. The lesion is usually diagnosed by gross or microscopic examination. When suspected, it can be diagnosed by percutaneous liver biopsy. In the past, peliosis hepatis is primarily associated with wasting diseases, such as tuberculosis, malignancy, and chronic suppurative infection. However, recently peliosis hepatis is seen most commonly in association with the administration of anabolic steroids or HIV infection. We report a case of peliosis hepatis that is diagnosed by peritoneoscopic live biopsy and not associated with known disease.
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원저 : HBsAg 양성 간질환 환자의 간 우엽 및 좌엽의 조직학적 소견의 비교 ( Original Articles : Histologic Diagnosis between Right Lobe and Left Lobe in Patients with HBsAg(+) Chronic Liver Diseases )
Korean J Gastrointest Endosc 1994;14(1):56-63.   Published online November 30, 1993
AbstractAbstract PDF
We compared the histological diagnosis and activity between the right and left lobes in order to assess the sampling variability in HBsAg(+) chronic liver diseases. From May 1987 to September 1991, we prospectively evaluated 23 patients(male 19, female 4, mean age: 32.0+8.8)with HBsAg(-) chronic liver diseases. (continue...)
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