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頁籤選單縮合
題名 | Biloma Following Transcatheter Arterial Chemoembolization with Microspheres: A Case Report=經肝動脈化學栓塞使用Microspheres併發膽汁瘤--病例報告 |
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作者 | 黃兆寬; 陳信成; 石明誠; 莊萬龍; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 23:9 2007.09[民96.09] |
頁次 | 頁470-474 |
分類號 | 415.536 |
關鍵詞 | 膽汁瘤; 肝癌; 經肝動脈化學栓塞; Biloma; Hepatocellular carcinoma; Microspheres; Transcatheter arterial chemoembolization; |
語文 | 英文(English) |
中文摘要 | 我們報告一位 44 歲男性肝癌患者,使用 microspheres 施行經肝動脈化學栓塞療法後發生膽汁瘤。他是在 2004 年 8 月被診斷出肝癌並且合併肝內膽管侵犯。患者隨即接受經肝動脈化學栓塞治療,使用 lipiodol 混合 epirubicin hydrochloride 及 mitomycin 並以 microspheres 作為血管阻斷藥物。在第一次肝動脈栓塞治療之後加上局部放射線治療肝內膽管侵犯部分。由於追蹤發現長出新腫瘤,患者後來又接受一系列肝動脈栓塞治療。在第三次栓塞治療後二星期出現發燒及腹瀉的情形,診斷為膽汁瘤合併感染,隨即以抗生素及引流治療。我們認為使用 microspheres 栓塞近端右肝動脈是誘發導致膽汁瘤的危險原因。 |
英文摘要 | We report a case of intrahepatic biloma following transcatheter arterial chemoembolization (TACE) with microspheres in a 44-year-old male patient. He was diagnosed with hepatocellular carcinoma with satellite nodules and intrahepatic duct invasion in August 2004. TACE was performed with a mixture of lipiodol, epirubicin hydrochloride, and mitomycin followed by microspheres as devascularizing material. Local external irradiation was performed on the area of intrahepatic duct invasion after the first TACE. Owing to local tumor progression and growth of new tumor nodules, a series of TACEs were performed. However, fever and diarrhea developed 2 weeks after the third TACE. Biloma with infection was diagnosed and was then treated successfully with percutaneous drainage and antibiotics. Embolization using microspheres at the proximal right hepatic artery was considered to have been the jeopardizing etiologic factor of biloma formation. |
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