Successful Transcatheter Arterial Embolization for Hemothorax from a Spontaneous Rupture of Hepatocellular Carcinoma Metastasis to the Chest Wall in an Elderly Patient
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- Suoh Maito
- Department of Hepatology, Graduate School of Medicine, Osaka City University, Japan
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- Hagihara Atsushi
- Department of Hepatology, Graduate School of Medicine, Osaka City University, Japan
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- Kageyama Ken
- Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka City University, Japan
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- Yamamoto Akira
- Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka City University, Japan
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- Enomoto Masaru
- Department of Hepatology, Graduate School of Medicine, Osaka City University, Japan
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- Tamori Akihiro
- Department of Hepatology, Graduate School of Medicine, Osaka City University, Japan
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- Kawada Norifumi
- Department of Hepatology, Graduate School of Medicine, Osaka City University, Japan
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抄録
<p>An 87-year-old man with hepatocellular carcinoma (HCC) presented with right-sided chest pain. Computed tomography revealed right bloody pleural effusion and an extravasation from an arterially enhanced mass in the right seventh posterior intercostal space. These findings indicated hemothorax from a rupture of HCC metastasis to the chest wall. Angiography of the intercostal arteries confirmed a hypervascular tumor, and transcatheter arterial embolization resulted in hemostasis. He was discharged with palliative care and remains alive after 9 months. Although hemothorax represents an unusual, life-threatening complication of HCC, our case suggests that transcatheter treatment can achieve hemostasis and a favorable survival even in elderly patients. </p>
収録刊行物
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- Internal Medicine
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Internal Medicine 60 (14), 2223-2228, 2021-07-15
一般社団法人 日本内科学会