Korean J Hepatol > Volume 5(4); 1999 > Article
The Korean Journal of Hepatology 1999;5(4): 348-352.
원발성 간세포암 환자에서 간동맥화학색전술 후 발생한 괴사성 간농양 및 담도괴사 1 예 ( A Case of Necrotizing Liver Abscess and Bile Duct Necrosis Following Hepatic Arterial Chemoembolization in Hepatocelluar Carcinoma )
A Case of Necrotizing Liver Abscess and Bile Duct Necrosis Following Hepatic Arterial Chemoembolization in Hepatocelluar Carcinoma
Gyu Jung, M.D., Jeong Wook Kim, M.D., Sang Jin Kim, M.D. Jun Hyung Joe, M.D., Jong Beum Lee, M.D.§, Jae Gyu Kim, M.D. Joongwon Park, M.D., Sae Kyung Chang, M.D., Byung Cheol Yoo M.D. and Sill Moo Park M.D.
Department of Internal Medicine and Radiology,§College of Medicine, Chung-Ang University, Seoul, Korea
ABSTRACT
Transcatheter arterial chemoembolization (TACE) is widely used in the treatment of hepatocellular carcinomas. We report a case of mult iple liver abscess with bile duct necrosis following gallbladder infarction after TACE in a patient with hepatocellular carcinoma. A 62- year old man, wit h four cm sized hepatocellular carcinoma in right lobe, was treat ed by TACE for six times during 18 months. Two days after the last TACE, acute cholecystitis occurred and antibiotics were used until the recovery of cholecystitis. After two months, abdominal CT scan revealed a gas containing liver abscess and percutaneous transhepatic drainage was performed. Cholangiography via drainage cathet er showed findings of bile duct necrosis. Ant ibiotics sensit ive to the causative organism were administered intravenously. However, the abscess persisted despite of treatment for three mont hs. (Korean J Hepatol 1999 ; 5 : 348-352)
KeyWords: TACE, Liver abscess, Bile duct necrosis

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