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Erschienen in: CardioVascular and Interventional Radiology 2/2011

01.02.2011 | Case Report

Percutaneous Transumbilical Portal Vein Embolization in a Patient with a Ruptured Hepatocellular Carcinoma Supplied by the Portal Vein

verfasst von: Soo Chin Kim, Hyo-Cheol Kim, Jin Wook Chung, Hwan Jun Jae, Jae Hyung Park

Erschienen in: CardioVascular and Interventional Radiology | Sonderheft 2/2011

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Abstract

We describe a case of a ruptured hepatocellular carcinoma supplied by the portal vein that was successfully treated with portal vein embolization via a percutaneous transumbilical approach. A contrast material-enhanced computed tomographic (CT) scan showed the presence of a large hypervascular tumor on portal venous phase as well as right hepatic vein thrombosis and hemoperitoneum that prevented portal vein embolization by the use of the percutaneous and transjugular transhepatic approach. The use of percutaneous transumbilical portal vein embolization can be an alternative option in this situation.
Literatur
1.
Zurück zum Zitat Lammer J, Malagari K, Vogl T et al (2010) Prospective randomized study of doxorubicin-eluting-bead embolization in the treatment of hepatocellular carcinoma: results of the PRECISION V study. Cardiovasc Intervent Radiol 33:41–52CrossRefPubMed Lammer J, Malagari K, Vogl T et al (2010) Prospective randomized study of doxorubicin-eluting-bead embolization in the treatment of hepatocellular carcinoma: results of the PRECISION V study. Cardiovasc Intervent Radiol 33:41–52CrossRefPubMed
2.
Zurück zum Zitat Honda H, Tajima T, Kajiyama K et al (1999) Vascular changes in hepatocellular carcinoma: correlation of radiologic and pathologic findings. AJR Am J Roentgenol 173:1213–1217PubMed Honda H, Tajima T, Kajiyama K et al (1999) Vascular changes in hepatocellular carcinoma: correlation of radiologic and pathologic findings. AJR Am J Roentgenol 173:1213–1217PubMed
3.
Zurück zum Zitat Hirano K, Kondo Y, Teratani T et al (2001) Hepatocellular carcinoma depicted as hypoattenuation on CT hepatic arteriography (CTA) and hyperattenuation on CT during arterial portography (CTAP). J Gastroenterol 36:346–349CrossRefPubMed Hirano K, Kondo Y, Teratani T et al (2001) Hepatocellular carcinoma depicted as hypoattenuation on CT hepatic arteriography (CTA) and hyperattenuation on CT during arterial portography (CTAP). J Gastroenterol 36:346–349CrossRefPubMed
4.
Zurück zum Zitat Tajima T, Honda H, Taguchi K et al (2002) Sequential hemodynamic change in hepatocellular carcinoma and dysplastic nodules: CT angiography and pathologic correlation. AJR Am J Roentgenol 178:885–897PubMed Tajima T, Honda H, Taguchi K et al (2002) Sequential hemodynamic change in hepatocellular carcinoma and dysplastic nodules: CT angiography and pathologic correlation. AJR Am J Roentgenol 178:885–897PubMed
5.
Zurück zum Zitat Choi SH, Chung JW, Lee HS (2003) Hepatocellular carcinoma supplied by portal flow after repeated transcatheter arterial chemoembolization. AJR Am J Roentgenol 181:889–908PubMed Choi SH, Chung JW, Lee HS (2003) Hepatocellular carcinoma supplied by portal flow after repeated transcatheter arterial chemoembolization. AJR Am J Roentgenol 181:889–908PubMed
6.
Zurück zum Zitat Kim SR, Imoto S, Ikawa H et al (2007) Well- to moderately-differentiated HCC manifesting hyperattenuation on both CT during arteriography and arterial portography. World J Gastroenterol 13:5775–5778PubMed Kim SR, Imoto S, Ikawa H et al (2007) Well- to moderately-differentiated HCC manifesting hyperattenuation on both CT during arteriography and arterial portography. World J Gastroenterol 13:5775–5778PubMed
7.
Zurück zum Zitat Liu CL, Fan ST, Lo CM et al (2001) Management of spontaneous rupture of hepatocellular carcinoma: single-center experience. J Clin Oncol 19:3725–3732PubMed Liu CL, Fan ST, Lo CM et al (2001) Management of spontaneous rupture of hepatocellular carcinoma: single-center experience. J Clin Oncol 19:3725–3732PubMed
8.
Zurück zum Zitat Kung CT, Liu BM, Ng SH et al (2008) Transcatheter arterial embolization in the emergency department for hemodynamic instability due to ruptured hepatocellular carcinoma: analysis of 167 cases. AJR Am J Roentgenol 191:W231–W239CrossRefPubMed Kung CT, Liu BM, Ng SH et al (2008) Transcatheter arterial embolization in the emergency department for hemodynamic instability due to ruptured hepatocellular carcinoma: analysis of 167 cases. AJR Am J Roentgenol 191:W231–W239CrossRefPubMed
9.
Zurück zum Zitat Lai EC, Lau WY (2006) Spontaneous rupture of hepatocellular carcinoma: a systematic review. Arch Surg 141:191–198CrossRefPubMed Lai EC, Lau WY (2006) Spontaneous rupture of hepatocellular carcinoma: a systematic review. Arch Surg 141:191–198CrossRefPubMed
10.
Zurück zum Zitat Goseki N, Nosaka T, Endo M, Koike M (1995) Nourishment of hepatocellular carcinoma cells through the portal blood flow with and without transcatheter arterial embolization. Cancer 76:736–742CrossRefPubMed Goseki N, Nosaka T, Endo M, Koike M (1995) Nourishment of hepatocellular carcinoma cells through the portal blood flow with and without transcatheter arterial embolization. Cancer 76:736–742CrossRefPubMed
11.
Zurück zum Zitat Aagaard J, Jensen LI, Sørensen TI et al (1982) Recanalized umbilical vein in portal hypertension. AJR Am J Roentgenol 139:1107–1110PubMed Aagaard J, Jensen LI, Sørensen TI et al (1982) Recanalized umbilical vein in portal hypertension. AJR Am J Roentgenol 139:1107–1110PubMed
12.
Zurück zum Zitat Spigos DG, Tauber JW, Tan WS et al (1983) Work in progress: umbilical venous cannulation: a new approach for embolization of esophageal varices. Radiology 146:53–56PubMed Spigos DG, Tauber JW, Tan WS et al (1983) Work in progress: umbilical venous cannulation: a new approach for embolization of esophageal varices. Radiology 146:53–56PubMed
Metadaten
Titel
Percutaneous Transumbilical Portal Vein Embolization in a Patient with a Ruptured Hepatocellular Carcinoma Supplied by the Portal Vein
verfasst von
Soo Chin Kim
Hyo-Cheol Kim
Jin Wook Chung
Hwan Jun Jae
Jae Hyung Park
Publikationsdatum
01.02.2011
Verlag
Springer-Verlag
Erschienen in
CardioVascular and Interventional Radiology / Ausgabe Sonderheft 2/2011
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-010-0018-5

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