Hemorrhagic shock necessitating resuscitation and damage control surgery after needle biopsy: A report of two cases. (February 2021)

• Record Type: Journal Article
• Authors: Tanikawa, Atsushi; Shimizu, Keiki; Furuta, Ryuichiro
• Is Part Of: Trauma case reports. Volume 31(2021)
• Publication Date: 2021-02
• Subjects: Needle biopsy -- Damage control surgery -- Hemorrhagic shock -- Deadly triad; Wounds and injuries -- Periodicals; Traumatology -- Periodicals; 617.1005
• DOI: 10.1016/j.tcr.2020.100389
• Languages: English
• ISSNs: 2352-6440

Abstract

Abstract: 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.