Hepatic artery-biliary fistula during infusion chemotherapy.
A 52-year-old man with rectal cancer and liver metastasis underwent tumor resection with hepatic arterial catheterization. During adjuvant chemotherapy, he developed epigastric pain, nausea, and melena. Digital subtraction angiography revealed a hepatic artery-biliary fistula and a pseudoaneurysm at the catheter tip. This rare complication of intra-arterial chemotherapy is reported in detail.
Noda
M
M
Second Department of Surgery, Hyogo College of Medicine, Japan.
Kusunoki
M
M
Yanagai
H
H
Yamamura
T
T
Utsunomiya
J
J
D015901:Angiography, Digital Subtraction; D000964:Antimetabolites, Antineoplastic / Q000008:administration & dosage; D001649:Bile Duct Diseases / Q000209:etiology; D017734:Bile Ducts, Extrahepatic; D005402:Fistula / Q000209:etiology*; D005472:Fluorouracil / Q000008:administration & dosage; D006499:Hepatic Artery; D006801:Humans; D007261:Infusions, Intra-Arterial / Q000009:adverse effects*; D008113:Liver Neoplasms / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000188:drug therapy; D012004:Rectal Neoplasms / Q000188:drug therapy
D000964:Antimetabolites, Antineoplastic; D005472:Fluorouracil