Hemorrhagic shock necessitating resuscitation and damage control surgery after needle biopsy: A report of two cases

Percutaneous needle biopsy is minimally invasive and widely performed. Bleeding is an important complication of needle biopsy. Because the wound created by the needle is small, the recognition of bleeding in the body may be delayed, and this delay can lead to hemorrhagic shock and death. We report t...

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Bibliographic Details
Published inTrauma case reports Vol. 31; p. 100389
Main Authors Tanikawa, Atsushi, Shimizu, Keiki, Furuta, Ryuichiro
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Ltd 01.02.2021
Elsevier
Subjects
Case Report
Damage control surgery
Deadly triad
Hemorrhagic shock
Needle biopsy
Deadly triad
Damage control surgery
Hemorrhagic shock
Needle biopsy
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Summary:Percutaneous needle biopsy is minimally invasive and widely performed. Bleeding is an important complication of needle biopsy. Because the wound created by the needle is small, the recognition of bleeding in the body may be delayed, and this delay can lead to hemorrhagic shock and death. We report two cases of hemorrhagic shock in which the trauma triad of death developed after needle biopsy and the patients required resuscitation and damage control surgery. Needle biopsy is less invasive but cannot stop bleeding, and so surgery should be considered to ensure hemostasis in a compromised patient.
ISSN:2352-6440
2352-6440
DOI:10.1016/j.tcr.2020.100389