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A Case of Spontaneous Rupture of Hepatocellular Carcinoma Supplied by the Right Renal Capsular Artery Treated by Transcatheter Arterial Embolization

대한간암학회지 2019년 19권 1호 p.59 ~ 63
장주연, 전웅배, 김진혁, 김태언, 류화성, 조몽, 홍영미, 김매란,
소속 상세정보
장주연 ( Jang Joo-Yeon ) - Pusan National University Yangsan Hospital Department of Radiology
전웅배 ( Jeon Ung-Bae ) - Pusan National University Yangsan Hospital Department of Radiology
김진혁 ( Kim Jin-Hyeok ) - Pusan National University Yangsan Hospital Department of Radiology
김태언 ( Kim Tae-Un ) - Pusan National University Yangsan Hospital Department of Radiology
류화성 ( Ryu Hwa-Seong ) - Pusan National University Yangsan Hospital Department of Radiology
조몽 ( Cho Mong ) - Pusan National University School of Medicine Pusan National University Yangsan Hospital Department of Internal Medicine
홍영미 ( Hong Young-Mi ) - Pusan National University School of Medicine Pusan National University Yangsan Hospital Department of Internal Medicine
김매란 ( Kim Mae-Ran ) - Pusan National University Yangsan Hospital Department of Radiology

Abstract


We present a case of spontaneous rupture of hepatocellular carcinoma with poor liver function managed by transcatheter arterial embolization (TAE). The patient’s bilirubin level was 2.1 mg/dL, albumin level was 2.4 g/dL, and prothrombin time international normalized ratio was 2.1. In addition, the patient had also developed a large number of ascites. The tumor was supplied by the right renal capsular artery, as observed on angiography. With successful TAE, no hepatic failure occurred. We believe TAE can be a safe and effective treatment option, even in patients with poor liver function, if tumors are supplied only by extrahepatic collateral vessels.

키워드

Hepatocellular carcinoma; Spontaneous rupture; Renal capsular artery; Extrahepatic collateral; Transcatheter arterial embolization

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