ABSTRACT
Posttransplant lymphoproliferative disorders are infrequent tumors related to chronic immunosuppressive therapy. We present a liver transplant recipient who developed such a tumor in the porta hepatis that provoked obstruction of the entire portal triad. Treatment consisted of systemic chemotherapy, percutaneous dilatation, and placement of Wallstent endoprostheses across both biliary and portal vein stenoses. The patient died 3 weeks later of pneumonia and sepsis. At necropsy, the tumor was completely necrosed and the prostheses in both the common bile duct and the portal vein were patent.
Subject(s)
Cholestasis/therapy , Liver Neoplasms/complications , Liver Transplantation/adverse effects , Lymphoma, Large-Cell, Immunoblastic/complications , Portal Vein/pathology , Punctures , Stents , Cholestasis/diagnostic imaging , Cholestasis/etiology , Constriction, Pathologic , Female , Humans , Liver Neoplasms/etiology , Lymphoma, Large-Cell, Immunoblastic/etiology , Middle Aged , Portal Vein/diagnostic imaging , Radiography, InterventionalSubject(s)
Carcinoma, Hepatocellular/therapy , Embolization, Therapeutic/adverse effects , Hemorrhage/etiology , Iodized Oil , Liver Neoplasms/therapy , Peritoneal Diseases/etiology , Carcinoma, Hepatocellular/complications , Humans , Liver Neoplasms/complications , Male , Middle Aged , Rupture, SpontaneousABSTRACT
Direct percutaneous drainage of pancreatic pseudocysts in communication with the duct of Wirsung can lead to pancreaticocutaneous fistula. These patients are safely treated with the percutaneous transgastric approach. In a gastrectomized patient who developed a pseudocyst, we percutaneously placed in internal endoprosthesis from the duct of Wirsung to the afferent loop and gastric pouch.
Subject(s)
Gastrectomy , Pancreatic Pseudocyst/surgery , Prostheses and Implants , Adult , Drainage/instrumentation , Humans , MaleABSTRACT
With intraarterial infusion, high levels of chemotherapeutic agents can be achieved in the tumoral area. We present our experience with open-ended guidewire (OEGW) associated with steerable guidewires (SGW) as superselective catheters for intraarterial chemotherapeutic infusion and embolization. This technique was used successfully in 62 patients (190 procedures) over 15 months.