[Hepatic artery ligation for liver metastasis of a acinar cell carcinoma of the pancreas revealed by a nodular panniculitis].
We report the case of a 67-year-old-man presenting with pancreatic acinar cell carcinoma revealed by dermatological manifestations of cytosteatonecrosis and treated by hepatic artery ligation. The pancreatic etiology of these lesions was suspected due to hyperlipasemia, and was confirmed by abdominal computerized tomography showing a pancreatic tumor and multiple liver nodules, and by histological examination of one of these lesions. Because of symptomatic treatment failure, rapid impairment of patient's general condition, and by analogy with the treatment of hepatic metastases of neuroendocrine tumors, hepatic artery ligation was performed. Lipasemia decreased markedly and symptoms disappeared for 45 days. Hepatic artery obstruction may be used for emergency treatment of secreting liver metastases.
Viguier
J
J
Service d'Hépato-Gastroentérologie, Centre Hospitalier Régional Universitaire, Tours.
D'Alteroche
L
L
Regimbeau
C
C
Picon
L
L
Jan
V
V
De Muret
A
A
Benchellal
Z A
ZA
Metman
E H
EH
D000368:Aged; D018267:Carcinoma, Acinar Cell / Q000098:blood supply* / Q000150:complications / Q000556:secondary*; D017809:Fatal Outcome; D006499:Hepatic Artery / Q000601:surgery*; D006801:Humans; D008026:Ligation; D008113:Liver Neoplasms / Q000098:blood supply* / Q000150:complications / Q000556:secondary*; D008297:Male; D010190:Pancreatic Neoplasms / Q000150:complications* / Q000473:pathology; D010201:Panniculitis, Nodular Nonsuppurative / Q000209:etiology* / Q000473:pathology
Ligature de l'artère hépatique pour métastases hépatiques d'un carcinome à cellules acineuses du pancréas révélé par une panniculite nodulaire.