A Case of Necrotizing Liver Abscess and Bile Duct Necrosis Following Hepatic Arterial Chemoembolization in Hepatocelluar Carcinoma.
- Author:
Gyu JUNG
;
Jeong Wook KIM
;
Jun Hyung JOE
;
Sang Jin KIM
;
Jong Beum LEE
;
Jae Gyu KIM
;
Joong Won PARK
;
Sae Kyung CHANG
;
Byung Cheol YOO
;
Sil Moo PARK
- Publication Type:Case Report
- Keywords:
TACE;
Liver abscess;
Bile duct necrosis
- MeSH:
Abscess;
Anti-Bacterial Agents;
Ants;
Bile Ducts*;
Bile*;
Carcinoma, Hepatocellular;
Cholangiography;
Cholecystitis;
Cholecystitis, Acute;
Drainage;
Fendiline;
Gallbladder;
Humans;
Infarction;
Liver Abscess*;
Liver*;
Middle Aged;
Necrosis*;
Tomography, X-Ray Computed
- From:The Korean Journal of Hepatology
1999;5(4):348-352
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Transcatheter arterial chemoembolization (TACE) is widely used in the treatment of hepatocellular carcinomas. We report a case of mult iple liver abscess with bile duct necrosis following gallbladder infarction after TACE in a patient with hepatocellular carcinoma. A 62-year old man, wit h four cm sized hepatocellular carcinoma in right lobe, was treat ed by TACE for six times during 18 months. Two days after the last TACE, acute cholecystitis occurred and antibiotics were used until the recovery of cholecystitis. After two months, abdominal CT scan revealed a gas containing liver abscess and percutaneous transhepatic drainage was performed. Cholangiography via drainage cathet er showed findings of bile duct necrosis. Ant ibiotics sensit ive to the causative organism were administered intravenously. However, the abscess persisted despite of treatment for three mont hs.
