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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 
 Yoon Hea Park  ;  Se Hun Kang  ;  Seung Up Kim  ;  Do Young Kim  ;  Jun Yong Park  ;  Sang Hoon Ahn  ;  Kwang Hyub Han  ;  Chae Yoon Chon 
 Korean Journal of Gastroenterology, Vol.58(3) : 149-152, 2011 
Journal Title
 Korean Journal of Gastroenterology 
Issue Date
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
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실)
Yonsei Authors
강세훈(Kang, Se Hun) ; 김도영(Kim, Do Young) ; 김승업(Kim, Seung Up) ; 박윤혜(Park, Yoon Hea) ; 박준용(Park, Jun Yong) ; 안상훈(Ahn, Sang Hoon) ; 전재윤(Chon, Chae Yoon) ; 한광협(Han, Kwang Hyup)
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