Transjugular Liver Biopsy in a Multiple Myeloma Patient with Hepatomegaly, Portal Hypertension and “Miliary” Liver Lesions: A Case Report

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Abstract

The present report describes a 50-year-old female recently diagnosed with multiple myeloma who presented with hepatosplenomegaly, miliary-type hyper enhancing liver tumors, and esophageal varices. We performed a transjugular liver biopsy when liver biopsy was requested to evaluate the miliary-type liver lesions. This was done to lower the risk of bleeding given the patient’s anemia and probable portal hypertension. This approach was successful in safely providing diagnostic samples for surgical pathology and flow cytometry to assess the nature of focal miliary liver lesions. It also proved portal hypertension.

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Journal

Journal ID (nlm-journal-id): 101580507

Journal ID (pubmed-jr-id): 40126

Journal ID (nlm-ta): J Gastrointest Dig Syst

Journal ID (iso-abbrev): J Gastrointest Dig Syst

Title: Journal of gastrointestinal & digestive system

ISSN (Electronic): 2161-069X

Publication date Nihms-submitted: 23 April 2017

Publication date (Electronic): 10 February 2016

Publication date (Print): February 2016

Publication date PMC-release: 01 August 2017

Volume: 6

Issue: 1

Electronic Location Identifier: 390

Affiliations

[1 ]Radiology Department, Interventional Radiology Service, Memorial Sloan Kettering Cancer Center, York Avenue, New York, NY 10065, USA

[2 ]Pathology Department, Memorial Sloan Kettering Cancer Center, York Avenue, New York, NY 10065, USA

[3 ]Department of Medicine, Memorial Sloan Kettering Cancer Center, York Avenue, New York, NY 10065, USA

[4 ]Weill Department of Medicine, Weill Cornell Medical College, East 68th Street, Box 130, New York, NY 10065, USA

Author notes

[* ] Corresponding author: Adrian J. Gonzalez-Aguirre, Radiology Department, Interventional Radiology Service, Memorial Sloan Kettering Cancer Center, York Avenue, New York, NY 10065, USA, Tel: 1-646-593-0430; gonzala2@ 123456mskcc.org

Article

Accession ID: PMC5538783 Pmcid ID: PMC5538783 Pmc-uid ID: 5538783 Manuscript ID: nihpa869223

DOI: 10.4172/2161-069X.1000390

PMC ID: 5538783

PubMed ID: 28775913

SO-VID: 94d20e8f-4f59-4162-842d-7a1d32f9c923

License:

This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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