Transcatheter arterial chemoembolization (TACE) has become an effective alternative
treatment strategy for
patients with inoperable
hepatocellular carcinoma (HCC). Although TACE is relatively safe,
acute respiratory distress syndrome associated with pulmonary
lipiodol embolism is a rare and potentially fatal complication. We
report a rare case of
acute respiratory distress syndrome after TACE for inoperable HCC. A 75-year-old man, with huge HCC in right lobe, was treated by TACE for the first
time. Seven hours after uneventful TACE
procedure, he felt dyspneic and his
oxygen saturation recorded by
pulse oximetry (
SpO2) fell to 80% despite of applying non-rebreathing
mask. He underwent
mechanical ventilation with a protective ventilatory strategy. We experienced a case of
acute respiratory distress syndrome after TACE for HCC.