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World J Hepatol. Oct 27, 2026; 18(10): 125241
Published online Oct 27, 2026. doi: 10.4254/wjh.125241
Published online Oct 27, 2026. doi: 10.4254/wjh.125241
Acute hemobilia following computed tomography-guided percutaneous liver biopsy: A case report
Yong-Chao Xu, Tangnuran Halimulati, Dan-Dan Zhao, Jing-Wang Bi, Qiang Wang, Department of Oncology, Shandong Second Provincial General Hospital, Jinan 250023, Shandong Province, China
Xiao-Feng Yu, Xia-Xin Guo, Qiang Wang, Clinical Medicine Research Center, Shandong Second Provincial General Hospital, Jinan 250023, Shandong Province, China
Co-first authors: Yong-Chao Xu and Tangnuran Halimulati.
Co-corresponding authors: Jing-Wang Bi and Qiang Wang.
Author contributions: Xu YC and Halimulati T wrote the original draft, and they contributed equally to this work as co-first authors; Bi JW and Wang Q contributed equally to this work as co-corresponding authors; Xu YC, Halimulati T, Bi JW, and Wang Q designed the research study and provided study materials or patients; Xu YC, Halimulati T, Yu XF, Guo XX, and Zhao DD collected and assembled data; Xu YC, Halimulati T, Zhao DD, Bi JW, and Wang Q reviewed and edited the manuscript; Xu YC, Bi JW, and Wang Q supervised the study; all authors approved the final version of the manuscript and are accountable for all aspects of the work.
AI contribution statement: AI tools, specifically Gemini3.1, were used solely for language polishing and formatting assistance. No AI tool was used to generate research data, interpret results, or formulate conclusions. All AI-assisted content was critically reviewed and revised by the authors, who take full responsibility for the accuracy, originality, and integrity of the manuscript.
Supported by Taishan Scholar Foundation of Shandong Province, No. tsqn202312378; National Natural Science Foundation of China, No. 81972793; and Traditional Chinese Medicine Science and Technology Foundation of Shandong Province, No. Q-2023037.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Qiang Wang, MD, PhD, Department of Oncology, Shandong Second Provincial General Hospital, No. 4 Duanxing West Road, Huaiyin District, Jinan 250023, Shandong Province, China. wangqiang@sdent.com.cn
Received: July 7, 2026
Revised: August 3, 2026
Accepted: September 15, 2026
Published online: October 27, 2026
Processing time: 106 Days and 18.1 Hours
Revised: August 3, 2026
Accepted: September 15, 2026
Published online: October 27, 2026
Processing time: 106 Days and 18.1 Hours
Core Tip
Core Tip: We report a case of a heavily pretreated patient who developed acute hemobilia during coaxial cannula withdrawal after computed tomography-guided liver biopsy. Immediate non-contrast computed tomography and physical signs enabled prompt diagnosis. Loss of mechanical tamponade and possible treatment-related vascular vulnerability were considered plausible, although they are unconfirmed contributing factors. In selected cases, prophylactic gelatin sponge tract embolization during coaxial cannula withdrawal may be considered a reasonable preventive option.