Surgical treatment of hepatocellular carcinoma with severe intratumoral arterioportal shunt

被引:0
作者
Hiromichi Ishii [1 ]
Teruhisa Sonoyama [1 ]
Shingo Nakashima [1 ]
Hiroyuki Nagata [1 ]
Atsushi Shiozaki [1 ]
Yoshiaki Kuriu [1 ]
Hisashi Ikoma [1 ]
Masayoshi Nakanishi [1 ]
Daisuke Ichikawa [1 ]
Hitoshi Fujiwara [1 ]
Kazuma Okamoto [1 ]
Toshiya Ochiai [1 ]
Yukihito Kokuba [1 ]
Chohei Sakakura [1 ]
Eigo Otsuji [1 ]
机构
[1] Division of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto 602-8566, Japan
关键词
Arterioportal shunt; Hepatocellular carcinoma; Esophagogastric varices;
D O I
暂无
中图分类号
R735.7 [肝肿瘤];
学科分类号
100214 ;
摘要
We report a case of hepatocellular carcinoma (HCC) that caused a severe arterioportal shunt (APS). A 49-year-old man was admitted to hospital due to esophagogastric variceal hemorrhage and HCC, and underwent endoscopic variceal ligation (EVL) and endoscopic injection sclerotherapy (EIS). He was then referred to our hospital. Abdominal computed tomography revealed a lowdensity lesion in the posterior segment of the liver and an intratumoral APS, which caused portal hypertension. Although the patient underwent EVL, EIS, Hassab’s operation, and transcatheter arterial embolization for APS, he vomited blood due to rupture of esophagogastric varices. Right hepatectomy was performed for the treatment of HCC and APS, although the indocyanine green retention value at 15 min after intravenous injection was poor (30%). The patient’s postoperative course was uneventful. Eventually, APS disappeared and the esophagogastric varices improved.
引用
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页码:3211 / 3214
页数:4
相关论文
共 6 条
[1]  
Capability of multidetector CT to diagnose hepatocellular carcinoma-associated arterioportal shunt[J]. Ming-Yue Luo, Hong Shan, Zai-Bo Jiang, Wen-Wei Liang, Jian-Sheng Zhang, Lu-Fang Li, Department of Radiology, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China.World Journal of Gastroenterology. 2005(17)
[2]  
Comparison of long-term effects between intra-arterially delivered ethanol and Gelfoam for the treatment of severe arterioportal shunt in patients with hepatocellular carcinoma[J]. Ming-Sheng Huang Zai-Bo Jiang Kang-Shun Zhu Shou-Hai Guan Zheng-Ran Li Hong Shah Department of Radiology,The 3rd Affiliated Hospital of Sun Yat-sen University,Guangzhou 51000,Guangdong Province,ChinaQu Lin Department of Internal Medicine,The 3rd Affiliated Hospital of Sun Yat-sen University,Guangzhou 51000,Guangdong P
[3]  
Assessment of hepatic reserve for indication of hepatic resection: decision tree incorporating indocyanine green test[J] . Hiroshi Imamura,Keiji Sano,Yasuhiko Sugawara,Norihiko Kokudo,Masatoshi Makuuchi.Journal of Hepato-Biliary-Pancreatic Surgery . 2005 (1)
[4]  
Angiographic demonstration of intrahepatic arterioportal anastomoses in hepatocellular carcinoma. K Okuda,H Musha,T Yamasaki,S Jinnouchi,T Nagasaki,Y Kubo,Y Shimokawa,T Nakayama,M Kojiro,K Sakamoto,T Nakashima. Radiology . 1977
[5]  
Gastroesophageal decongestion and splenectomy in the treatment of esophageal varices in bilharzial cirrhosis: further studies with a report on 355 operations. Hassab MA. Journal of Surgery . 1967
[6]  
Angiography of primary liver cancer. Kido C, Sasaki T, Kaneko M. American Journal of Roentgenology . 1971