Résumé
Transcatheter arterial chemoembolization (TACE) is one of the most common palliative treatment modalities for patients with advanced hepatocellular carcinoma (HCC). TACE is an invasive procedure associated with several potential complications of varying severity. A pulmonary embolism after TACE for HCC is a rare complication. We report a case of pulmonary Lipiodol embolism after a third TACE resulting in death.
Sujets)
Humains , Carcinome hépatocellulaire , Embolie , Huile éthiodée , Soins palliatifs , Embolie pulmonaireRésumé
Streptomycin is currently utilized to treat advanced tuberculosis in Korea. However, the usefulness of intravascular streptomycin is not fully understood. In this study, streptomycin was administered intravenously in 30 patients. Intravenous administration of streptomycin may be a useful route of administration without undesirable toxicities.
Sujets)
Humains , Administration par voie intraveineuse , Corée , Mycobacterium tuberculosis , Streptomycine , TuberculoseRésumé
Cytomegalovirus(CMV) infections are common in immune compromised situations such as human immunodeficiency virus infection and organ transplantation. However CMV colitis had been rarely found in immunocompetent individuals. We experienced a case of an 83-year-old female patient, initially immune competent, who developed a massive lower gastrointestinal bleeding caused by CMV colitis. Previously, multiple antibiotics were used for nontuberculous Myco- bacterium and other bacterial infections after total knee arthroplasty. Colonoscopy revealed multiple ulcerations and mucosal congestion with hemorrhage. In spite of ganciclovir therapy, our patient did not recover.
Sujets)
Sujet âgé de 80 ans ou plus , Femelle , Humains , Antibactériens , Arthroplastie , Infections bactériennes , Colite , Coloscopie , Cytomegalovirus , Oestrogènes conjugués (USP) , Ganciclovir , Hémorragie , VIH (Virus de l'Immunodéficience Humaine) , Genou , Infections à mycobactéries non tuberculeuses , Mycobactéries non tuberculeuses , Transplantation d'organe , Transplants , UlcèreRésumé
Bleeding from esophageal and gastric varices is a life-threatening complication for patients with liver cirrhosis. Endoscopic injection of Histoacryl(R)(N-butyl-2-cyanoacrylate) has been reported to be an effective therapy for variceal bleeding; however, distal embolization of unwanted areas has been described in some cases with a fatal outcome. A change in the rationale of treatment of variceal bleeding in patients with liver cirrhosis was not advocated because of the infrequency of such cases. We report two cases of splenic infarction with celiac trunk and pulmonary emboli as serious complications of Histoacryl(R) injection.