 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 demonstrates a sclerotic focus within the left iliac bone corresponding to the findings seen on recent MRI examination. An OnControl core biopsy needle was advanced into the lesion using CT guidance. Two 13-gauge biopsy specimens were obtained.The core biopsy specimens were hand carried to the Surgical Pathology lab. The 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 sclerotic lesion within the left iliac bone.