Difficult Ultrasound-Guided Liver Biopsy Aided by Use of Needle Guidance
Dr. Carla Serra
Unit of Internal Medicine for Multi-Organ Failure Treatment
Department of Surgical Science and Transplant
St. Orsola Malpighi Hospital
University of Bologna
Featured Product: Ultra-Pro II™ Needle Guide
CONSIDERATION FOR USE
A 62 year-old woman affected by systemic lupus erythematosus since she was 37, and taking corticosteroids, underwent abdominal ultrasound for a mild elevation of transaminases. A 30mm hypoechoic and irregular mass was detected in segment II-III and a biopsy of the mass was performed.
EQUIPMENT FOR EXAMINATION
Philips iU22 X-MATRIX ultrasound system
CIVCO Ultra-Pro II Needle Guide
APPROACH TO EXAMINATION
The lesion was deeply located along the posterior-superior margin of the liver, near the cardiac apex area. Transmitted heart movements limited a safe needle approach. The needle guide (Ultra-Pro II, CIVCO Medical Solutions) helped select the best needle trajectory despite transmitted heart movements. The biopsy was successful and safely performed.
Diagnosis: Lymphocytic and granulocytic infiltrate associated with diffuse coagulative necrosis.
Ultrasound detected a deeply located hypoechoic lesion near the cardiac apex in segment II-III.
Use of the needle guide (Ultra-Pro II) aided selection of the best needle trajectory despite heart movements and allowed a safe and successful biopsy