title: Spontaneous rupture of hepatocellular carcinoma supplied by the right renal capsular artery treated by transcatheter arterial embolization.
abstract: We present a case of spontaneous rupture of hepatocellular carcinoma (HCC) with poor liver function which was treated by transcatheter arterial embolization (TAE). The patient's bilirubin value was 3.8 mg/dL. The tumor was fed by the right renal capsular artery according to selective arteriography. It was subsequently treated by TAE. With successful TAE, no hepatic failure was related to the treatment. We believe that if tumors are fed only by extrahepatic collateral vessels, TAE may be an effective treatment even in patients with poor liver function.
authors.affiliation: Department of Radiology, Hokkaido University, School of Medicine, N15 W7, Kita-ku, Sapporo, 060-8638, Japan. ykodama@radi.med.hokudai.ac.jp
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Kodama
authors.forename: Tadashi
authors.initials: T
authors.lastname: Shimizu
authors.forename: Hideho
authors.initials: H
authors.lastname: Endo
authors.forename: Shuhei
authors.initials: S
authors.lastname: Hige
authors.forename: Tamotsu
authors.initials: T
authors.lastname: Kamishima
authors.forename: George A
authors.initials: GA
authors.lastname: Holland
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Miyamoto
authors.forename: Kazuo
authors.initials: K
authors.lastname: Miyasaka
mesh_terms: D000368:Aged; D000792:Angiography / Q000379:methods; D006528:Carcinoma, Hepatocellular / Q000000981:diagnostic imaging / Q000628:therapy*; D002406:Catheterization, Peripheral; D004621:Embolization, Therapeutic / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D012422:Rupture, Spontaneous / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome