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Titolo:
Intraperitoneal hemorrhage as a major complication of percutaneous ethanolinjection therapy for hepatocellular carcinoma
Autore:
Ohmoto, K; Kunieda, T; Shibata, N; Yamamoto, S;
Indirizzi:
Kawasaki Med Univ, Dept Med, Div Gastroenterol, Kurashiki, Okayama 7010192, Japan Kawasaki Med Univ Kurashiki Okayama Japan 7010192 Okayama 7010192, Japan
Titolo Testata:
HEPATO-GASTROENTEROLOGY
fascicolo: 35, volume: 47, anno: 2000,
pagine: 1199 - 1202
SICI:
0172-6390(200009/10)47:35<1199:IHAAMC>2.0.ZU;2-H
Fonte:
ISI
Lingua:
ENG
Soggetto:
MICROWAVE COAGULATION THERAPY; HEPATIC-TUMORS; ABLATION;
Keywords:
intraperitoneal; hemorrhage; hemoperitoneum; complication; percutaneous ethanol injection therapy (PEIT); hepatocellular carcinoma (HCC); superficial lesion; liver surface;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Ohmoto, K Kawasaki Med Univ, Dept Med, Div Gastroenterol, 577 Matsushima, Kurashiki,Okayama 7010192, Japan Kawasaki Med Univ 577 Matsushima KurashikiOkayama Japan 7010192
Citazione:
K. Ohmoto et al., "Intraperitoneal hemorrhage as a major complication of percutaneous ethanolinjection therapy for hepatocellular carcinoma", HEP-GASTRO, 47(35), 2000, pp. 1199-1202

Abstract

Two cases of intraperitoneal hemorrhage, which is one of the major complications of percutaneous ethanol injection therapy for hepatocellular carcinoma, are reported. A 70-year-old man was hospitalized for treatment of a small recurrent hepatocellular carcinoma located on the surface of the left lobe of the liver. Acute hemoperitoneum developed after percutaneous ethanol injection therapy, but he was treated conservatively with blood transfusion, and recovered. The other patient was a 72-year-old man who was admitted for treatment of a solitary superficial hepatocellular carcinoma on the domeof the Liver. Immediately after percutaneous ethanol injection, he suffered the sudden onset of severe abdominal pain with shock and massive hemoperitoneum. His bleeding was successfully controlled by emergency transcatheterarterial embolization. Our experience suggests that care must be taken when using percutaneous ethanol injection to treat patients with superficial hepatocellular carcinomas located on the surface of the liver. Moreover, transcatheter arterial embolization should be considered the treatment of choice for the management of uncontrollable intraperitoneal hemorrhage after ethanol injection therapy.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/04/20 alle ore 11:23:44