Direct duodenal invasion of hepatocellular carcinoma. Intestinal hemorrhage treated by transcatheter arterial embolization.
This report describes a case of direct duodenal invasion of hepatocellular carcinoma with massive intermittent gastrointestinal (GI) bleeding. Progressive anemia was intractable by supportive therapy alone, and repeated blood transfusion was necessary. Transcatheter arterial embolization was finally carried out, which dramatically reduced the amount of transfusion. Owing to severe blood loss, patients with GI tract involvement generally have a poor prognosis.
Yamada
K
K
Department of Radiology, St. Marianna University School of Medicine, Kawasaki, Japan.
Tohyama
H
H
Shizawa
Y
Y
Kohno
M
M
Fukunishi
Y
Y
Tomoe
M
M
D000792:Angiography; D006528:Carcinoma, Hepatocellular / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology*; D004378:Duodenal Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology*; D004621:Embolization, Therapeutic; D016145:Endoscopy, Digestive System; D017809:Fatal Outcome; D005500:Follow-Up Studies; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D014057:Tomography, X-Ray Computed