 Following a discussion of the procedure with the patient and/or family, including its risks, benefits, alternatives and steps to prevent infection, informed written consent was obtained and documented in the patient's chart. The time-out form was completed to confirm patient identity and side/type of procedure. All operators present for the case performed standard preprocedural prep including hand washing, sterile gloves, mask and cap. The patient was prepped and draped in the usual aseptic fashion. Local anesthesia over the target area was obtained by 1% lidocaine. Midazolam and fentanyl were administered IV by the nurses during continuous hemodynamic monitoring. A localizing CT demonstrated a lesion within the left superior pubic ramus and acetabulum corresponding to the findings on the patient's recent MRI examination.A 13 gauge OnControl core biopsy needle was advanced under CT guidance into the aforementioned lesion within the left superior pubic ramus and left acetabulum. Three 13-gauge core needle biopsy specimens were obtained. Touch preparation slides were handed to cytopathology.The core biopsy specimens were hand carried to the Surgical Pathology labThe patient tolerated the procedure well without immediate complication. Routine post procedure instructions were communicated to the patient.ESTIMATED BLOOD LOSS: Less than 5cc. An adhesive bandage was placed on the patient’s skin.
CT-guided biopsy of a left superior pubic ramus/left acetabular lesion.