A case of necrotizing pancreatitis subsequent to transcatheter arterial chemoembolization in a patient with hepatocellular carcinoma

被引：15

作者：

Bae, Song-I ^{[1
]}

Yeon, Jong Eun ^{[1
]}

Lee, Jong Mee ^{[2
]}

Kim, Ji Hoon ^{[1
]}

Lee, Hyun Jung ^{[1
]}

Lee, Sun Jae ^{[1
]}

Suh, Sang Jun ^{[1
]}

Yoon, Eileen L. ^{[1
]}

Kim, Hae Rim ^{[1
]}

Byun, Kwan Soo ^{[1
]}

Seo, Tae-Seok ^{[2
]}

机构：

[1] Korea Univ, Coll Med, Dept Internal Med, Seoul, South Korea

[2] Korea Univ, Coll Med, Dept Radiol, Seoul, South Korea

来源：

CLINICAL AND MOLECULAR HEPATOLOGY | 2012年 / 18卷 / 03期

关键词：

Carcinoma; Hepatocellular; Therapeutic chemoembolization; Acute necrotizing pancreatitis;

D O I：

10.3350/cmh.2012.18.3.321

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Necrotizing pancreatitis is one of the rare complications of transcatheter arterial chemoembolization (TACE). Necrotizing pancreatitis after TACE may result from the development of ischemia caused by regurgitation of embolic materials into the vessels supplying the pancreas. We report a case of post-TACE necrotizing pancreatitis with abscess formation in a patient with hepatocellular carcinoma. The patient had suffered hepatic artery injury due to repetitive TACE; during his 25th TACE procedure he had submitted to selective catheterization of the feeding vessel from the dorsal pancreatic artery with a cytotoxic agent and Gelfoam particles. The patient complained of abdominal pain after the TACE procedure, and a CT scan led to a diagnosis of necrotizing pancreatitis with abscess formation. The pancreatic abscess progressed despite general management of the pancreatitis, including antibiotics. Percutaneous catheter drainage was performed, and the symptoms of the patient improved.

引用

页码：321 / 325

页数：5

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