PDF(Pubmed)
Abstract：
Background and Objectives: Transarterial chemoembolization (TACE) is a widely accepted treatment for hepatocellular carcinoma (HCC). Regarding TACE, arterial injuries, such as hepatic artery spasm or dissection, can also occur, although pseudoaneurysms are rare. We report a case of pseudoaneurysm following TACE. Materials and Methods: A 78-year-old man had been undergoing TACE for HCC in segment 8 of the liver for the past 5 years, with the most recent TACE procedure performed approximately 1 month prior. He presented to the emergency department with melena that persisted for 5 days. Computed tomography revealed a pseudoaneurysm in the S8 hepatic artery with hemobilia. Results: the pseudoaneurysm was successfully treated by N-Butyl-cyanoacrylate glue embolization. Conclusions: In patients that have undergone TACE presenting with melena and hemobilia identified on CT, consideration of hepatic artery pseudoaneurysm is crucial. Such cases can be safely and effectively treated with endovascular managements.
摘要：
背景与目的:肝动脉化疗栓塞术(TACE)是目前公认的肝细胞癌(HCC)治疗方法。关于TACE,动脉损伤,如肝动脉痉挛或解剖，也可能发生,虽然假性动脉瘤很少见.我们报告一例TACE术后假性动脉瘤。材料和方法：在过去的5年中，一名78岁的男子在肝脏的第8段接受了TACE治疗，在大约1个月前进行了最新的TACE手术。他向急诊科赠送了持续5天的黑便。计算机断层扫描显示S8肝动脉假性动脉瘤伴胆道出血。结果：N-丁基-氰基丙烯酸酯胶栓塞成功治疗假性动脉瘤。结论：在接受TACE的患者中，在CT上发现黑便和胆道出血，肝动脉假性动脉瘤的考虑至关重要。这种情况可以通过血管内管理安全有效地治疗。
