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A case of ruptured hepatocellular carcinoma immediately after transcatheter arterial chemoembolization

山口医学 Volume 64 Issue 1 Page 35-40
published_at 2015-02-01
B030064000105.pdf
[fulltext] 1.93 MB
Title
肝細胞癌に対する肝動脈化学塞栓療法施行直後に腫瘍破裂を来した一例
A case of ruptured hepatocellular carcinoma immediately after transcatheter arterial chemoembolization
Abstract
Spontaneous rupture of hepatocellular carcinoma(HCC)is well known. However, rupture of HCC after transcatheter arterial chemoembolization(TACE)is a rare but potentially fatal complication. Herein, we report a case of ruptured HCC after TACE in a 73-year-old man with chronic liver injury(non-B and non-C).He had previously undergone subsegmental resection of S7 of the liver for HCC. One year later, multiple HCCs were detected. TACE was performed for the recurrent HCCs located on the surface of S2 of the liver. Epigastric pain and decreased blood pressure were observed after the treatment. Although his symptoms improved immediately, the patient gradually became anemic. Radiological examination after TACE revealed a hematoma around the S2 lesion. Therefore, we diagnosed rupture of HCC. We performed TAE and could control the bleeding. Few possible mechanisms of ruptured HCC after TACE include increasing pressure inside the tumor and capsular injury due to TACE. Consequently, HCC which has a high risk of rupture after TACE should be assured embolization and careful observation.
Creators Fukui Yumi
Creators Saeki Issei
Creators Hanazono Tadasuke
Creators Tanabe Norikazu
Affiliate Master Yamaguchi University
[kakenhi]15501 grid.268397.1
Creators Urata Yohei
Creators Hidaka Isao
Creators Terai Shuji
Affiliate Master Yamaguchi University
[kakenhi]15501 grid.268397.1
Creators Sakaida Isao
Source Identifiers [PISSN] 0513-1731 [NCID] AN00243156
Creator Keywords
肝細胞癌 肝動脈化学塞栓療法 腫瘍破裂
Languages jpn
Resource Type journal article
Publishers 山口大学医学会
Date Issued 2015-02-01
File Version Version of Record
Access Rights open access
Schools 医学部附属病院 大学院医学系研究科(医学)