Liver perforation: a serious complication of percutaneous acetic acid injection for hepatocellular carcinoma.
A 75-year-old cirrhotic man, after undergoing percutaneous acetic acid injection therapy for hepatocellular carcinoma, presented high fever and right hypochondralgia. Computed tomography disclosed an area of low attenuation in the liver and a crescent-shaped intraperitoneal lesion adjacent to it. We diagnosed liver perforation and localized peritonitis due to the leakage of acetic acid following acetic acid injection. It is important to consider this serious complication when evaluating the indications for percutaneous acetic acid injection for hepatocellular carcinoma.
Koda
M
M
Department of Clinical Laboratory Medicine, Faculty of Medicine, Tottori University, Japan.
Tanaka
H
H
Murawaki
Y
Y
Horie
Y
Y
Suou
T
T
Kawasaki
H
H
Ikawa
S
S
D019342:Acetic Acid / Q000008:administration & dosage / Q000009:adverse effects*; D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000188:drug therapy*; D006801:Humans; D015552:Injections, Intralesional / Q000009:adverse effects*; D008099:Liver / Q000000981:diagnostic imaging / Q000293:injuries*; D008113:Liver Neoplasms / Q000188:drug therapy*; D008297:Male; D010538:Peritonitis / Q000000981:diagnostic imaging / Q000209:etiology; D014057:Tomography, X-Ray Computed
D019342:Acetic Acid