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LIVER BIOPSY

The preferred approach is right lateral for liver biopsy, or anterior sub-costal if there is respiratory compromise (patient can sit up more...

The preferred approach is right lateral for liver biopsy, or anterior sub-costal if there is respiratory compromise (patient can sit up more easily). Traversing normal liver reduces the risk of bleeding.
Consent for:

•  Haemorrhage, pneumothorax, biliary peritonitis, bowel/gallbladder perforation, arterioportal shunt (all 1/300, tend to occur in first 24 hours).
•  Overall risk of death is 1/10,000 in those with liver disease.