Liver abscess after transcatheter arterial embolization (TAE) and obstruction of the reconstructed hepatic artery

• Published in: Tando Vol. 9; no. 4; pp. 312 - 320
• Main Authors: KUROSAWA, Haruki, NAKANO, Akira, MIURA, Yasuhiko, FUKUSHIMA, Tadao, ENDO, Itaru, SEKIDO, Hitoshi, IKE, Hideyuki, OOKI, Shigeo, SHIMADA, Hiroshi, MAEHARA, Masanori, NAKAGAWARA, Gizo
• Format: Journal Article
• Language: Japanese
• Published: Japan Biliary Association 1995
• ISSN: 0914-0077; 1883-6879
• DOI: 10.11210/tando1987.9.4_312

The aim of this study is to investigate the mechanism and treatment for liver abscess after various surgical maneuver and radiological intervention. We have five cases of liver abscess: three cases after TAE, two cases after reconstruction of the hepatic artery, besides two cases of aseptic biloma after arterial infusion chemotherapy. On the cases of liver abscess, antibiotics were administrated and percutaneous transhepatic abscess drainage were performed, however they all died. Cases of aseptic biloma didn't have infected bile, and they recovered by drainage. After TAE, obstruction of the reconstructed hepatic artery and arterial infusion chemotherapy, bile duct necrosis sometimes occurs due to ischemia of the biliary tract, so that bile leaks around Glisson. If bile is infectious, liver abscess easily form. In conclusion, we shouldn's perform TAE to patients with infected bile. We should take care to prevent obstruction of the hepatic artery, especially for patients with infected bile.