Liver biopsy
Key points
- The liver is a pyramid-shaped organ that lies within the upper right side of the abdomen.
- You may be given a sedative or pain medication by injection before the test.
- Blood tests are sometimes done to test for the ability to clot.
- The physical and psychological preparation you can provide for this or any test or procedure depends on your child's age, interests, previous experiences, and level of trust.
Alternative names
Biopsy - liver; Percutaneous biopsy
Definition
The liver is a pyramid-shaped organ that lies within the upper right side of the abdomen. In a typical liver biopsy, a needle is inserted through the rib cage or abdominal wall and into the liver to obtain a sample for examination.
The procedure can also be performed by inserting a needle into the jugular vein in the neck and passing a catheter through the veins down to the liver to obtain the sample.
How the test is performed
The test is usually done in the hospital. You may be given a sedative or pain medication by injection before the test. If the approach is through the abdominal wall, you will be lying on your back with your right hand under your head. It is important to be as still as possible.
The health care provider will examine the liver and determine the correct spot for the biopsy needle to be inserted. The skin will be cleansed, and a small needle will be used to inject a local anesthetic to numb the area. A small incision is made, and the biopsy needle is inserted. You will then be instructed to hold your breath while the biopsy is taken. This is to reduce the chance of puncturing the lung or tearing the liver.
The needle is inserted and removed quickly. Pressure will be applied to stop bleeding, and a bandage is placed over the insertion site.
If the procedure is performed by the transjugular approach, you be lying on your back on a table. The internal jugular vein in the neck will be located. The skin will be cleansed, and a small needle will be used to inject a local anesthetic to numb the area. A needle is then inserted to pass a catheter that is moved down to the liver. X-ray equipment will be used to check the location of the catheter. A specialized needle is then used through the catheter to obtain the biopsy sample.
How to prepare for the test
Tell your health care provider about:
- drug allergies you may have
- medications you are taking
- bleeding problems you may have
- whether you are pregnant
You must sign a consent form. Blood tests are sometimes done to test for the ability to clot. You may not have food or fluid 8 hours before the test.
Infants and children:
The physical and psychological preparation you can provide for this or any test or procedure depends on your child's age, interests, previous experiences, and level of trust. For specific information regarding how you can prepare your child, see the following topics as they correspond to your child's age:
Written and revised by
Andrey Nailor, M.D.
Our doctors write and review articles for accuracy and keep them up to date.
health.am provides general information, not medical advice. Always consult a qualified health professional about your own health.