Direct duodenal invasion of hepatocellular carcinoma: Intestinal hemorrhage treated by transcatheter arterial embolization

• Published in: Clinical imaging Vol. 22; no. 3; pp. 196 - 199
• Main Authors: Yamada, Kei, Tohyama, Hiroki, Shizawa, Yoshihisa, Kohno, Makoto, Fukunishi, Yasuo, Tomoe, Masai
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.05.1998; Elsevier; Elsevier Limited
• Subjects: Angiography; Biological and medical sciences; Blood transfusions; Carcinoma, Hepatocellular - complications; Carcinoma, Hepatocellular - diagnostic imaging; Carcinoma, Hepatocellular - pathology; Duodenal Diseases - diagnostic imaging; Duodenal Diseases - etiology; Duodenal Diseases - pathology; Duodenal neoplasm; Embolization, Therapeutic; Endoscopy, Digestive System; Fatal Outcome; Follow-Up Studies; Gastroenterology. Liver. Pancreas. Abdomen; Gastrointestinal Hemorrhage - etiology; Gastrointestinal Hemorrhage - therapy; Hepatocellular carcinoma; Humans; Liver cancer; Liver cirrhosis; Liver Neoplasms - complications; Liver Neoplasms - diagnostic imaging; Liver Neoplasms - pathology; Liver, CT; Liver. Biliary tract. Portal circulation. Exocrine pancreas; Male; Medical imaging; Medical sciences; Middle Aged; Neoplasm Invasiveness; Patients; Surgery; TAE; Tomography, X-Ray Computed; Tumors; Veins & arteries; Hepatocellular carcinoma; Duodenal neoplasm; TAE; Liver, CT; Human; Carcinoma; Duodenal disease; Duodenum; Liver; Instrumentation therapy; Hepatic disease; Tumorous infiltration; Malignant tumor; Hemorrhage; Case study; Digestive diseases; Intestinal disease; Complication; Embolization
• ISSN: 0899-7071; 1873-4499
• DOI: 10.1016/S0899-7071(97)00125-3

This report describes a case of direct duodenal invasion of hepatocellular carcinoma with massive intermittent gastrointestinal (GI) bleeding. Progressive anemia was intractable by supportive therapy alone, and repeated blood transfusion was necessary. Transcatheter arterial embolization was finally carried out, which dramatically reduced the amount of transfusion. Owing to severe blood loss, patients with GI tract involvement generally have a poor prognosis.