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간세포암 환자에서 간동맥화학색전술 후 발생한 간십이지장 누공

Other Titles
 A Case of Hepaticoduodenal Fistula Development after Transarterial Chemoembolization in Patient with Hepatocellular Carcinoma 
Authors
 Yoon Hea Park  ;  Se Hun Kang  ;  Seung Up Kim  ;  Do Young Kim  ;  Jun Yong Park  ;  Sang Hoon Ahn  ;  Kwang Hyub Han  ;  Chae Yoon Chon 
Citation
 Korean Journal of Gastroenterology, Vol.58(3) : 149-152, 2011 
Journal Title
Korean Journal of Gastroenterology
ISSN
 1598-9992 
Issue Date
2011
MeSH
Carcinoma, Hepatocellular/radiotherapy ; Carcinoma, Hepatocellular/therapy* ; Chemoembolization, Therapeutic/adverse effects* ; Endoscopy, Digestive System ; Gastric Fistula/etiology* ; Humans ; Liver Abscess/etiology ; Liver Diseases/etiology* ; Liver Neoplasms/radiotherapy ; Liver Neoplasms/therapy* ; Male ; Middle Aged ; Rupture, Spontaneous/etiology ; Tomography, X-Ray Computed
Keywords
Hepaticoduodenal fistula ; Hepatocellular carcinoma ; Transarterial chemoembolization
Abstract
Transarterial chemoembolization (TACE) is recommended as one of the first line therapy for unresectable hepatocellular carcinoma (HCC). Rupture of HCC following TACE is a rare and potentially fatal complication. We report a case of hepaticoduodenal fistula with ruptured HCC and liver abscess complicated by TACE. A 52-year-old male was treated by TACE three times, followed by radiation therapy and systemic chemotherapy. 30 days after the last TACE, right upper quadrant pain of abdomen was developed. About 1 month later, computed tomography of abdomen showed ruptured HCC with debris containing liver abscess and hepaticoduodenal fistula. Esophagogastroduodenoscopy revealed hepaticoduodenal fistula and hepatic parenchyme covered with exudate. The patient was managed with supportive care, but the hepaticoduodenal fistula persisted
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Se Hun(강세훈)
Kim, Do Young(김도영)
Kim, Seung Up(김승업) ORCID logo https://orcid.org/0000-0002-9658-8050
Park, Yoon Hea(박윤혜)
Park, Jun Yong(박준용) ORCID logo https://orcid.org/0000-0001-6324-2224
Ahn, Sang Hoon(안상훈) ORCID logo https://orcid.org/0000-0002-3629-4624
Chon, Chae Yoon(전재윤)
Han, Kwang-Hyub(한광협) ORCID logo https://orcid.org/0000-0003-3960-6539
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/93981
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