[Application of metallic stents for both inferior vena cava and biliary obstruction by lymph node involvement in a patient with recurrent hepatocellular carcinoma].
The authors experienced a case with obstruction of the inferior vena cava (IVC) and the common bile duct due to a recurrent hepatocellular carcinoma. In order to improve severe edema of the lower extremities and obstructive jaundice, IVC metallic stent as well as biliary stent were applied. A Luminexx stent of 8 cm in length was placed in the bile duct via subcutaneous route after biliary drainage. A spiral zigzag stent of 8 cm in length was also inserted into the IVC through the femoral vein following balloon dilatation of the obstructed portion. Subsequently, jaundice and edema were dramatically improved in a short period of time, which resulted in patient discharge from the hospital. Although the patient died of the cancer in 2 months, the quality of life was well maintained until death.
Tono
Takeshi
T
Dept. of Surgery, NTT West Osaka Hospital.
Matsushita
Masaki
M
Maeda
Munehiro
M
Murakami
Masahiro
M
Nakano
Yoshiaki
Y
Takemoto
Hirotoshi
H
Imazato
Mitsunobu
M
Asaoka
Tadashi
T
Hoshino
Hiromitsu
H
Kanoh
Toshiyuki
T
Kimura
Yutaka
Y
Iwazawa
Takashi
T
Ohnishi
Tadashi
T
Yano
Hiroshi
H
Okamura
Jun
J
Monden
Takushi
T
D000328:Adult; D006528:Carcinoma, Hepatocellular / Q000150:complications*; D002404:Catheterization; D002779:Cholestasis / Q000628:therapy*; D003135:Common Bile Duct; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications*; D008297:Male; D009364:Neoplasm Recurrence, Local; D011788:Quality of Life; D015607:Stents; D014652:Vascular Diseases / Q000628:therapy; D014682:Vena Cava, Inferior