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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 ; Chae Yoon Chon ; Kwang Hyub Han ; Sang Hoon Ahn ; Jun Yong Park ; Do Young Kim ; Seung Up Kim 
Citation
 Korean Journal of Gastroenterology (대한소화기학회지), Vol.58(3) : 149~152, 2011 
Journal Title
 Korean Journal of Gastroenterology  (대한소화기학회지) 
ISSN
 1598-9992 
Issue Date
2011
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
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/93981
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Internal Medicine
Yonsei Authors
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