Pulmonary embolism after arterial chemoembolization for hepatocellular carcinoma: An autopsy case report

被引：11

作者：

Hatamaru, Keiichi ^{[1
]}

Azuma, Shunjiro ^{[1
]}

Akamatsu, Takuji ^{[1
]}

Seta, Takeshi ^{[1
]}

Urai, Shunji ^{[1
]}

Uenoyama, Yoshito ^{[1
]}

Yamashita, Yukitaka ^{[1
]}

Ono, Kazuo ^{[2
]}

机构：

[1] Wakayama Med Ctr, Japan Red Cross Soc, Dept Gastroenterol & Hepatol, Wakayama 6408558, Japan

[2] Japan Red Cross Soc, Wakayama Med Ctr, Dept Pathol, Wakayama 6408558, Japan

来源：

WORLD JOURNAL OF GASTROENTEROLOGY | 2015年 / 21卷 / 04期

关键词：

Hepatocellular carcinoma; Transcatheter arterial chemoembolization; Pulmonary lipiodol embolism; Acute respiratory distress syndrome; Autopsy; RESPIRATORY-DISTRESS-SYNDROME; FAT-EMBOLISM; LIVER-CANCER; COMPLICATIONS;

D O I：

10.3748/wjg.v21.i4.1344

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

We report an extremely rare case of pulmonary lipiodol embolism with acute respiratory distress syndrome (ARDS) after transcatheter arterial chemoembolization (TACE) for hepatocellular carcinoma (HCC). A 77-yearold man who was diagnosed with a huge HCC was admitted for TACE. Immediately after the procedure, this patient experienced severe dyspnea. We suspected that his symptoms were associated with a pulmonary lipiodol embolism after TACE, and we began intensive treatment. However, his condition did not improve, and he died on the following day. A subsequent autopsy revealed that the cause of death was ARDS due to pulmonary lipiodol embolism. No cases have been previously reported for which an autopsy was performed to explain the most probable mechanism of pulmonary lipiodol embolism; thus, ours is the first report for such a rare case.

引用

页码：1344 / 1348

页数：5

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