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Gan To Kagaku Ryoho ; 32(11): 1765-7, 2005 Oct.
Artigo em Japonês | MEDLINE | ID: mdl-16315934

RESUMO

A 87-year-old male underwent the extended hepatic left lobectomy and the partial hepatectomy (S7, S8) for liver hepatic metastasis from the rectal cancer in March 2003. The reserver was implanted by the GDA-coil method from the right femoral artery, and WHF was enforced 10 times. Epigastric and back pain appeared from January 2004. The pain became strong gradually. MRI and CT scan were examined after hospitalization. These imaging tests showed the pseudo aneurysm of common hepatic artery. Therefore, an emergency angiography was performed, and pseudo aneurysm of the common hepatic artery was embolized with 36 metallic coils. After the embolization, the pain had disappeared suddenly. The patient was discharged the 7th day after embolization. Hepatic arterial infusion chemotherapy is considered safe with respect to blood and non blood toxicity, which was compared with systemic chemotherapy. However, there were also complications like this case, and caution is required.


Assuntos
Falso Aneurisma/etiologia , Artéria Hepática , Infusões Intra-Arteriais/efeitos adversos , Neoplasias Hepáticas/terapia , Idoso de 80 Anos ou mais , Falso Aneurisma/terapia , Cateterismo/efeitos adversos , Embolização Terapêutica , Hepatectomia , Humanos , Neoplasias Hepáticas/secundário , Masculino , Neoplasias Retais/patologia
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