[A case of pseudo aneurysm of common hepatic artery related to hepatic arterial infusion chemotherapy].
A 87-year-old male underwent the extended hepatic left lobectomy and the partial hepatectomy (S7, S8) for liver hepatic metastasis from the rectal cancer in March 2003. The reserver was implanted by the GDA-coil method from the right femoral artery, and WHF was enforced 10 times. Epigastric and back pain appeared from January 2004. The pain became strong gradually. MRI and CT scan were examined after hospitalization. These imaging tests showed the pseudo aneurysm of common hepatic artery. Therefore, an emergency angiography was performed, and pseudo aneurysm of the common hepatic artery was embolized with 36 metallic coils. After the embolization, the pain had disappeared suddenly. The patient was discharged the 7th day after embolization. Hepatic arterial infusion chemotherapy is considered safe with respect to blood and non blood toxicity, which was compared with systemic chemotherapy. However, there were also complications like this case, and caution is required.
Shimizu
Junzo
J
Dept. of Surgery, Toyonaka Municipal Hospital.
Kondo
Motoi
M
Masutani
Seizo
S
Fukunaga
Mutsumi
M
Takemoto
Hiroyoshi
H
Nakayama
Takahiro
T
Imamura
Hiroshi
H
Tatsuta
Masayuki
M
Takamura
Manabu
M
Inoue
Yutaka
Y
Furukawa
Hiroshi
H
Hayashi
Shouho
S
Kitada
Masayuki
M
Shimano
Takashi
T
D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000209:etiology* / Q000628:therapy; D002404:Catheterization / Q000009:adverse effects; D004621:Embolization, Therapeutic; D006498:Hepatectomy; D006499:Hepatic Artery; D006801:Humans; D007261:Infusions, Intra-Arterial / Q000009:adverse effects*; D008113:Liver Neoplasms / Q000556:secondary / Q000628:therapy*; D008297:Male; D012004:Rectal Neoplasms / Q000473:pathology