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

Atsushi Tanikawa; Keiki Shimizu; Ryuichiro Furuta

doi:10.1016/j.tcr.2020.100389

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

Trauma Case Rep. 2020 Dec 9:31:100389. doi: 10.1016/j.tcr.2020.100389. eCollection 2021 Feb.

Authors

Atsushi Tanikawa¹, Keiki Shimizu², Ryuichiro Furuta¹

Affiliations

¹ Department of Surgery, Tokyo Metropolitan Tama Medical Center, 2-8-29 Musashidai, Fuchu City, Tokyo 183-8524, Japan.
² Department of Emergency and Critical Care Medicine, Tokyo Metropolitan Tama Medical Center, 2-8-29 Musashidai, Fuchu City, Tokyo 183-8524, Japan.

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.

Keywords: Damage control surgery; Deadly triad; Hemorrhagic shock; Needle biopsy.

Publication types

Case Reports