FATAL SEPTIC COMPLICATION OF TRANSCATHETER CHEMOEMBOLIZATION FOR HEPATOCELLULAR-CARCINOMA

被引:23
作者
HASHIMOTO, T
MITANI, T
NAKAMURA, H
HORI, S
KOZUKA, T
KOBAYASHI, Y
NAKATA, A
TSUJIMURA, T
机构
[1] Department of Radiology, Osaka University Medical School, Suita-Shi, Osaka, 565, 2-2, Yamadaoka
[2] Department of Radiology, Sumitomo Hospital, Osaka, 530, 5-2-2 Nakanoshima, Kita-ku
[3] Department of Internal Medicine, Sumitomo Hospital, Osaka, 530, 5-2-2 Nakanoshima, Kita-ku
[4] Department of Pathology, Sumitomo Hospital, Osaka, 530, 5-2-2 Nakanoshima, Kita-ku
关键词
HEPATOCELLULAR CARCINOMA; CHEMOEMBOLIZATION; COMPLICATIONS; LIVER ABSCESS; PNEUMOBILIA; PORTAL VEIN THROMBOSIS;
D O I
10.1007/BF02629168
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A patient with hepatocellular carcinoma, associated segmental portal vein thrombosis, and accompanying pneumobilia, developed a liver abscess and sepsis following transcatheter chemoembolization (TCE). It was believed that the combination of bile duct necrosis after arterial occlusion and pneumobilia led to ascending enteric infection and seeding of the necrotic tumor, which ultimately led to fatal outcome. We conclude that TCE is contraindicated in such cases.
引用
收藏
页码:325 / 327
页数:3
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