scholarly journals Liver Abscess after Common Hepatic Artery Embolization for Delayed Hemorrhage Following Pancreaticoduodenectomy: Case Report

2010 ◽  
Vol 2010 ◽  
pp. 1-8 ◽  
Author(s):  
Yuichi Sanada ◽  
Hiroki Kondo ◽  
Satoshi Goshima ◽  
Masayuki Kanematsu ◽  
Yoshihiro Tanaka ◽  
...  
Keyword(s):  
Anastomotic Leakage ◽  
Hepatic Artery ◽  
Bile Duct Carcinoma ◽  
Hepatic Artery Embolization ◽  
Artery Embolization ◽  
Duct Carcinoma ◽  
Continuous Irrigation ◽  
Delayed Hemorrhage ◽  
Life Threatening ◽  
The Right

A 55-year-old man underwent pancreaticoduodenectomy for bile duct carcinoma in March 2009. The patient developed anastomotic leakage and had a short episode of hemorrhage from the drainage tubes with spontaneous disappearance. CT and upper endoscopy did not reveal the source of bleeding. A massive life-threatening hemorrhage occurred on the 18th postsurgical day. Emergency angiography showed a 2.7-cm pseudoaneurysm of the gastroduodenal artery stump, and hepatic artery embolization was performed. After embolization, an abscess appeared in segments 2/3 of the liver without involving the right lobe. We treated conservatively by drainage and antibiotics. During the course of therapy after embolization, the patient experienced several episodes of high fever but did not develop hepatic failure. On the 68th day after embolization, the abscess had penetrated to the lesser sac, which was immediately treated by percutaneous drainage. Anastomotic leakage was treated by continuous irrigation from the drain, for which complete resolution was achieved by the 34th day after embolization. The patient was discharged 101 days after embolization. Imaging and the clinical course demonstrate a unique mechanism of abscess formation after embolization.

scholarly journals Reversible Right-Sided Heart Failure Secondary to Carcinoid Crisis

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Mariana Soto Herrera ◽  
José A. Restrepo ◽  
Jesús H. Díaz ◽  
Andrés Ramos ◽  
Andrés Felipe Buitrago ◽  
...  
Keyword(s):  
Heart Failure ◽  
Case Report ◽  
Hepatic Artery ◽  
Somatostatin Analogs ◽  
Arterial Embolization ◽  
Hepatic Artery Embolization ◽  
Artery Embolization ◽  
Carcinoid Crisis ◽  
Life Threatening ◽  
Fatal Complications

Carcinoid crisis is an infrequent and little-described complication of neuroendocrine tumors that can be life threatening. It may develop during induction of anesthesia, intraoperatively, during tumor manipulation and arterial embolization, or even spontaneously. The massive release of neuroendocrine substances can lead to potentially fatal complications. Somatostatin analogs inhibit the release of these substances and are the mainstay of treatment. The following case report describes a patient with reversible acute right-sided heart failure posterior to hepatic artery embolization.

Peliosis hepatis in a child with myotubular myopathy: Successful treatment using hepatic artery embolization

2013 ◽  
Vol 48 (8) ◽  
pp. e9-e12 ◽  
Author(s):  
Joseph P. Terlizzi ◽  
Robert Azizi ◽  
Monica D. Chow ◽  
Sharon Underberg-Davis ◽  
John L. Nosher ◽  
...  
Keyword(s):  
Hepatic Artery ◽  
Successful Treatment ◽  
Peliosis Hepatis ◽  
Hepatic Artery Embolization ◽  
Artery Embolization ◽  
Myotubular Myopathy

Changes in acetoacetate/β-hydroxybutyrate ratio in arterial blood following hepatic artery embolization in man

Life Sciences ◽  
1984 ◽  
Vol 35 (11) ◽  
pp. 1177-1182 ◽  
Author(s):  
Tomohiko Tani ◽  
Yoshiro Taki ◽  
Hidehisa Aoyama ◽  
Akira Jikkoh ◽  
Shigeki Arii ◽  
...  
Keyword(s):  
Hepatic Artery ◽  
Hepatic Artery Embolization ◽  
Artery Embolization ◽  
Arterial Blood

scholarly journals Usefulness of cholangioscopic-guided mapping biopsy using SpyGlass DS for preoperative evaluation of extrahepatic cholangiocarcinoma: a pilot study

2018 ◽  
Vol 06 (02) ◽  
pp. E199-E204 ◽  
Author(s):  
Takahisa Ogawa ◽  
Kei Ito ◽  
Shinsuke Koshita ◽  
Yoshihide Kanno ◽  
Kaori Masu ◽  
...  
Keyword(s):  
Bile Duct ◽  
Diagnostic Accuracy ◽  
Bile Duct Carcinoma ◽  
Preoperative Evaluation ◽  
Extrahepatic Cholangiocarcinoma ◽  
Duct Carcinoma ◽  
The Right ◽  
Spyglass Ds ◽  
Tumor Extent ◽  
Mapping Biopsy

Abstract Background and study aims Evaluation of longitudinal tumor extent is indispensable for curative surgical treatment of extrahepatic cholangiocarcinoma. The aim of this study was to evaluate the usefulness and feasibility of cholangioscopic-guided mapping biopsy using a newly developed peroral digital cholangioscope, SpyGlass DS (SpyDS), for preoperative evaluation of extrahepatic cholangiocarcinoma. Patients and methods Thirteen patients (mean age, 75 years; male 10, female 3) with extrahepatic cholangiocarcinoma who underwent cholangioscopic-guided mapping biopsy using SpyDS for preoperative evaluation were included in this study. Successful cholangioscopic-guided mapping biopsy was defined as the acquisition of specimens sufficient for histopathological diagnosis. Results The mean number of biopsies was 5 per patient. The overall success rate for cholangioscopic-guided mapping biopsy was 88 % (59/67). The success rate for cholangioscopic-guided mapping biopsy from the confluence of the right and left hepatic ducts was 89 %, that from the B4 confluence was 93 %, that from the confluence of the right anterior and right posterior segmental ducts was 86 %, that from the intrapancreatic common bile duct was 67 %, and that from the main lesion was 100 %. The overall diagnostic accuracy of longitudinal tumor extent at the hepatic side, the duodenal side and overall by cholangioscopic findings and mapping biopsy, was 88 % (7/8), 88 % (7/8) and 88 % (7/8), respectively. Assessment according to location of the main lesion revealed that diagnostic accuracy in the patients with distal bile duct carcinoma was 100 % (5/5) and that in patients with perihilar bile duct carcinoma was 66 % (2/3). Complications after the procedure did not occur in any patients. Conclusions Cholangioscopic-guided mapping biopsy using SpyDS is thought to be feasible for preoperative evaluation of extrahepatic cholangiocarcinoma.

Gallbladder Necrosis following Hepatic Artery Embolization

1993 ◽  
Vol 34 (3) ◽  
pp. 309-310 ◽  
Author(s):  
T. Tikkakoski ◽  
T. Myllymäki ◽  
J. Turunen ◽  
T. Typpö ◽  
P. Lohela ◽  
...  
Keyword(s):  
Hepatic Artery ◽  
Hepatic Artery Embolization ◽  
Artery Embolization
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