Transcatheter arterial embolization for chest wall metastasis of hepatocellular carcinoma

Hemothorax due to rupture of metastatic hepatocellular carcinoma (HCC) is a very rare complication with high mortality because of uncontrollable hemorrhage. A 71-year-old man treated by transcatheter arterial embolization for HCC with massive bleeding from chest wall metastasis is reported. Enhanced...

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Published inWorld journal of radiology Vol. 5; no. 2; pp. 45 - 48
Main Authors Nagao, Eiki, Hirakawa, Masakazu, Soeda, Hiroyasu, Tsuruta, Satoru, Sakai, Hironori, Honda, Hiroshi
Format Journal Article
LanguageEnglish
Published United States Baishideng Publishing Group Co., Limited 28.02.2013
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Summary:Hemothorax due to rupture of metastatic hepatocellular carcinoma (HCC) is a very rare complication with high mortality because of uncontrollable hemorrhage. A 71-year-old man treated by transcatheter arterial embolization for HCC with massive bleeding from chest wall metastasis is reported. Enhanced computed tomography and selective intercostal angiogram showed a hypervascular mass in the right chest wall and extravasation of contrast agent. After successful transcatheter arterial embolization with gelatin sponge particles and metallic coils, the patient recovered from shock without major complication. To our knowledge, a successfully treated case of hemothorax due to rupture of metastatic HCC has not previously been described.
Bibliography:Eiki Nagao, Departments of Clinical Radiology, Fukuoka city Hospital, Yoshizukahonmachi, Fukuoka 812-0046, Japan Masakazu Hirakawa, Departments of Clinical Radiology, Kyushu University Beppu Hospital, Beppu, Oita 874-0838, Japan Hiroyasu Soeda, Departments of Clinical Radiology, Beppu Medical Centor, Beppu, Oita 874-0011, Japan Satoru Tsuruta, Hironori Sakai, Departments of Gastrointestinal medicine, Beppu Medical Centor, Beppu, Oita 874-0011, Japan Hiroshi Honda, Departments of Clinical Radiology, Kyushu University, Fukuoka 812-8582, Japan
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Correspondence to: Masakazu Hirakawa, MD, PhD, Departments of Clinical Radiology, Kyushu University Beppu Hospital, 4546 Oazaturumiazaturumibara, Beppu, Oita 874-0838, Japan. mahira@radiol.med.kyushu-u.ac.jp
Telephone: +81-977-671111 Fax: +81-977-675766
Author contributions: Nagao E, Hirakawa M, Soeda H, Tsuruta S, Sakai H and Honda H contributed to the manuscript writing and revision.
ISSN:1949-8470
1949-8470
DOI:10.4329/wjr.v5.i2.45