Successful Associating Liver Partition and Portal Vein Ligation after Unsuccessful Double TACE Procedure Complicated with Sepsis and Pancreatitis.

The associating liver partition and portal vein ligation (ALPPS) is a novel procedure with increasing number of scientific and clinical studies, and by now, it showed to be efficient and safe procedure in selected group of patients. Here we present the first case of ALPPS done after double TACE procedure in a 64-years-old female patient with extensive hepatocellular carcinoma of the right liver lobe. The procedure was successful and liver remnant showed significant 90% hypertrophy which proves that ALPPS sometimes can be performed after palliative procedures in liver malignancies.

[A large asymptomatic renal hemangioma as a chance radiologic finding]. / Grosses asymptomatisches Nierenhämangiom als radiologischer Zufallsbefund.

The author reports on a large asymptomatic renal haemangioma that was found accidentally in the course of a preoperative CT examination. The radiological visualisation in plain CT, in serial CT as well as in selective angiography is presented. The finding is discussed and compared with the observations reported so far in the literature in respect of this rare benign tumour.