| 증례 : Pneumobilia 가 동반된 간세포암종에서 간동맥 화학색전술 후 비암성 간 내에 발생한 간농양 1 예 ( Liver Abscess Formation in Non - Tumorous Parenchyma after Transcatheter Arterial Chemoembolization ( TACE ) for the Treatment of Hepatocellular Carcinoma |
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| Liver Abscess Formation in Non - Tumorous Parenchyma after Transcatheter Arterial Chemoembolization (TACE) for the Treatment of Hepatocellular Carcinoma Associated with Pneumobilia |
| Yong Kyun Kim, M.D., Su Eun Yu, M.D., Chang Kyun Hong, M.D., Sung Ku Lee, M.D.,
Young Chul Kim. M.D., So Young Lee, M.D., Si Hyun Bae, M.D., Je Hyun Shin, M.D.,
Byung Hun Byun, M.D., Jong Young Choi, M.D., Young Min Park, M.D., Kyu Won Chung, M.D.,
Hee Sik Sun, M.D., Doo Ho Park, M.D., Boo Sung Kim, M.D., Yeon Joo Jung, M.D.† |
| Department of Internal Medicine and radiology†
College of Medicine, The Catholic University of Korea, Seoul, Korea |
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| ABSTRACT |
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Transcatheter arterial chemoembolization (TACE) is widely used to treat inoperable hepatocellular carcinoma and metastatic tumor of the liver. Among the complications occurring after TACE, liver abscess formation in HCC is a fatal complication. The reported incidence of this complication ranges from 0% to 3.3%. Moreover, liver abscess formation in non-tumorous parenchyma is very rare. The pathogenic mechanism of this complication has been linked to several factors but retrograde enteric bacterial contamination of the biliary tract appears to be the most commonly implicated cause. The major risk factors of the biliary tract infection are pneumobilia, portal vein thrombosis, bilo-enteric anastomosis and biliary obstruction. We report a rare case of liver abscess formation in non-tumorous liver parenchyma after TACE for the treatment of hepatocellular carcinoma in a patient with pneumobilia.
(Korean J Hepatol 2001;7:189-194) |
| KeyWords:
Neoplasm/Liver/Hepatocellular carcinoma, Transcatheter arterial chemoembolization, Liver abscess, Pneumobilia |
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