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Needle track seeding following image guided needle biopsy is a known but uncommon complication in the workup of hepatocellular carcinoma. We present the case of a 55 year-old male who was found to have a recurrent hepatocellular carcinoma in the rectus sheath five years following a CT guided biopsy with the biopsy needle passing through the anterior abdominal wall muscles.

Seeding of the Rectus Sheath with Hepatocellular Carcinoma after Image Guided Percutaneous Liver Biopsy Using Coaxial Biopsy Needle System