According to the reporter, the patient had a stomach perforation during liver biopsy, attempted to reach the right lobe and once perforated, the air entered into the stomach.There were 3 passes targeting liver parenchyma as well as the lesion.The patient experienced mild pain post procedure and increased pain the following day.A computed tomography (ct) scan abdomen performed showed a substantial amount of free air/pneumoperitoneum.The patient was put on antibiotics and after 7 days course of antibiotic, the patient still had a fever.Another ct scan was performed as an outpatient which appeared to have atelectasis/possible pneumonia in lung base and the patient was admitted for about a day and another antibiotic was started.Patient was discharged approximately 1 day after admission.The physician also noted that at the end of the procedure, there was some difficulty or resistance with the needle removal and had the difficulty with gliding.The physician stated that the needle did not bend.There was no injury or harm to the physician.
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