A Case of Emphysematous Cholecystitis and Pneumobilia after Transarterial Chemoembolization for Hepatocellular Carcinoma.
- Author:
Gwang Hyeon CHOI
1
;
Da Lim YOON
;
Jae Kwang LEE
;
Seung Hoon LEE
;
Young Joo JIN
;
Do Hyun PARK
;
Ju Hyun SHIM
Author Information
1. Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. s5854@medmail.co.kr
- Publication Type:Original Article
- Keywords:
Hepatocellular Carcinoma;
Chemoembolization, Therapeutic;
Emphysematous Cholecystitis
- MeSH:
Aged;
Carcinoma, Hepatocellular;
Chemoembolization, Therapeutic;
Cholangiopancreatography, Endoscopic Retrograde;
Cholecystitis, Acute;
Common Bile Duct;
Emphysematous Cholecystitis;
Female;
Gallbladder;
Humans;
Palliative Care
- From:Korean Journal of Medicine
2012;83(6):764-770
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Transarterial chemoembolization (TACE) is reportedly a useful palliative treatment in patients with unresectable or recurred hepatocellular carcinoma. Post-TACE complications are common; however, acute cholecystitis after TACE is rare. We herein report a case of a 73-year-old woman who presented with emphysematous cholecystitis and pneumobilia following TACE. Computed tomography performed for evaluation of her tumor status before TACE incidentally showed gallbladder and common bile duct stones. After TACE, she complained of severe epigastric pain with a positive Murphy's sign. Computed tomography showed emphysematous cholecystitis and pneumobilia. She was successfully treated with emergent biliary stone removal by endoscopic retrograde cholangiopancreatography.
