Interventional Treatment for Giant Hepatic Hemangioma Accompanied by Arterio-portal Shunt with Ascites

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  • Igarashi Go
    Department of Gastroenterology and Hematology, Hirosaki University Graduate School of Medicine, Japan
  • Mikami Kenichiro
    Department of Gastroenterology and Hematology, Hirosaki University Graduate School of Medicine, Japan
  • Sawada Naoya
    Department of Gastroenterology and Hematology, Hirosaki University Graduate School of Medicine, Japan
  • Endo Tetsu
    Department of Gastroenterology and Hematology, Hirosaki University Graduate School of Medicine, Japan
  • Sueyoshi Norihiko
    Department of Gastroenterology and Hematology, Hirosaki University Graduate School of Medicine, Japan
  • Sato Ken
    Department of Gastroenterology and Hematology, Hirosaki University Graduate School of Medicine, Japan
  • Tsushima Fumiyasu
    Department of Radiation and Radiation Oncology, Hirosaki University Graduate School of Medicine, Japan
  • Kakehata Shinya
    Department of Radiation and Radiation Oncology, Hirosaki University Graduate School of Medicine, Japan
  • Ono Shuichi
    Department of Radiation and Radiation Oncology, Hirosaki University Graduate School of Medicine, Japan
  • Aoki Masahiko
    Department of Radiation and Radiation Oncology, Hirosaki University Graduate School of Medicine, Japan
  • Kurose Akira
    Department of Anatomic Pathology, Hirosaki University Graduate School of Medicine, Japan
  • Iwamura Hideki
    Department of Gastroenterology, Tsugaru General Hospita, Japan
  • Fukuda Shinsaku
    Department of Gastroenterology and Hematology, Hirosaki University Graduate School of Medicine, Japan

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抄録

<p>A 73-year-old woman with massive ascites associated with a giant hepatic mass accompanied by arterio-portal (AP) shunt was admitted to our hospital. Based on contrast-enhanced computed tomography (CT) and angiography findings, hepatic hemangioma with AP shunt and ascites due to portal hypertension was diagnosed. Transcatheter arterial embolization (TAE) by N-butyl-2-cyanoacrylate (NBCA) was performed without complications. The patient's ascites disappeared, and her liver function test results improved after the treatment. The patient has maintained a steady state for two years. This case indicates that TAE with NBCA is a safe and effective treatment for hepatic hemangioma accompanied by AP shunt. </p>

収録刊行物

  • Internal Medicine

    Internal Medicine 57 (19), 2847-2851, 2018-10-01

    一般社団法人 日本内科学会

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