Resolution of inferior vena cava syndrome after embolization of a hepatic adenoma.
A 77-year-old man presented with severe pruritus and massive lower body edema. Computerized axial tomography of the abdomen showed a large hepatic mass compressing the inferior vena cava, and a liver biopsy specimen showed hepatic adenoma. Embolization of vessels feeding the hepatic tumor resulted in complete resolution of pruritus and ascites, and clinical remission has persisted for 1 year following partial obliteration of tumor vasculature. Angiographic ablation of tumor blood supply represents a nonoperative means for inducing clinical remission in patients with symptomatic hepatic adenoma who are at high surgical risk.
Department of Medicine, University of Maryland School of Medicine, Baltimore.
R F
RF
Meirowitz
K D
KD
Tobin
E G
EG
Elias
O
O
Iseri
S O
SO
Pais
R G
RG
Knodell
D000236:Adenoma / Q000098:blood supply / Q000473:pathology / Q000628:therapy*; D000368:Aged; D001201:Ascites / Q000628:therapy; D003251:Constriction, Pathologic / Q000628:therapy; D004487:Edema / Q000628:therapy; D004621:Embolization, Therapeutic; D006801:Humans; D008113:Liver Neoplasms / Q000098:blood supply / Q000473:pathology / Q000628:therapy*; D008297:Male; D011537:Pruritus / Q000628:therapy; D013577:Syndrome; D014682:Vena Cava, Inferior / Q000473:pathology*