A Case of Hepaticoduodenal Fistula Development after Transarterial Chemoembolization in Patient with Hepatocellular Carcinoma / 대한소화기학회지
The Korean Journal of Gastroenterology
; : 149-152, 2011.
Article
in Ko
| WPRIM
| ID: wpr-84302
Responsible library:
WPRO
ABSTRACT
Transarterial chemoembolization (TACE) is recommended as one of the first line therapy for unresectable hepatocellular carcinoma (HCC). Rupture of HCC following TACE is a rare and potentially fatal complication. We report a case of hepaticoduodenal fistula with ruptured HCC and liver abscess complicated by TACE. A 52-year-old male was treated by TACE three times, followed by radiation therapy and systemic chemotherapy. 30 days after the last TACE, right upper quadrant pain of abdomen was developed. About 1 month later, computed tomography of abdomen showed ruptured HCC with debris containing liver abscess and hepaticoduodenal fistula. Esophagogastroduodenoscopy revealed hepaticoduodenal fistula and hepatic parenchyme covered with exudate. The patient was managed with supportive care, but the hepaticoduodenal fistula persisted.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Rupture, Spontaneous
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Tomography, X-Ray Computed
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Endoscopy, Digestive System
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Gastric Fistula
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Chemoembolization, Therapeutic
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Carcinoma, Hepatocellular
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Liver Abscess
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Liver Diseases
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Liver Neoplasms
Limits:
Humans
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Male
Language:
Ko
Journal:
The Korean Journal of Gastroenterology
Year:
2011
Type:
Article