Acute Respiratory Distress Syndrome after Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma: A Case Report.
10.12771/emj.2013.36.1.62
- Author:
Yun Won JO
1
;
Jeong Mi LEE
;
Ja Yoon CHOI
;
Dong Hoon LEW
;
Ra Ri CHA
;
Hye Won OH
;
Hong Jun KIM
;
Hyun Ju MIN
;
Hyun Jin KIM
;
Woon Tae JUNG
;
Ok Jae LEE
;
Chang Yoon HA
;
Sun Young YI
Author Information
1. Department of Internal Medicine, Gyeongsang National University School of Medicine, Jinju, Korea. singrum@daum.net
- Publication Type:Case Report
- Keywords:
Acute respiratory distress syndrome;
Chemoembolization;
Hepatocellular carcinoma
- MeSH:
Carcinoma, Hepatocellular;
Embolism;
Ethiodized Oil;
Humans;
Masks;
Oximetry;
Oxygen;
Respiration, Artificial;
Respiratory Distress Syndrome, Adult
- From:The Ewha Medical Journal
2013;36(1):62-66
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Transcatheter arterial chemoembolization (TACE) has become an effective alternative treatment strategy for patients with inoperable hepatocellular carcinoma (HCC). Although TACE is relatively safe, acute respiratory distress syndrome associated with pulmonary lipiodol embolism is a rare and potentially fatal complication. We report a rare case of acute respiratory distress syndrome after TACE for inoperable HCC. A 75-year-old man, with huge HCC in right lobe, was treated by TACE for the first time. Seven hours after uneventful TACE procedure, he felt dyspneic and his oxygen saturation recorded by pulse oximetry (SpO2) fell to 80% despite of applying non-rebreathing mask. He underwent mechanical ventilation with a protective ventilatory strategy. We experienced a case of acute respiratory distress syndrome after TACE for HCC.
