[An unusual complication of hepatocellular carcinoma: the pleuro-biliary fistula].
A patient with hepatocellular carcinoma had fever, cough, dyspnea. The analysis and the transcatheter arterial chemoembolization (TACE) showed leucocytosis, cholestasis and pleural viscous fluid with bilirubin. The patient was stabilized and two chest tube were placed. Abdomen CT demonstrated dilated bile duct and pleuro-biliary fistula: dilated bile duct, necrosis and portal thrombus were predictive for TACE-induced pleuro-biliary fistula.
UO Medicina Interna, Ospedale Cervesi, Cattolica, AUSL Rimini. danitirotta@libero.it
Daniela
D
Tirotta
Vittorio
V
Durante
D000368:Aged; D000970:Antineoplastic Agents / Q000008:administration & dosage; D001658:Biliary Fistula / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006528:Carcinoma, Hepatocellular / Q000175:diagnosis / Q000628:therapy*; D016461:Chemoembolization, Therapeutic / Q000009:adverse effects* / Q000379:methods; D004322:Drainage / Q000379:methods; D006801:Humans; D007261:Infusions, Intra-Arterial / Q000009:adverse effects*; D008113:Liver Neoplasms / Q000175:diagnosis / Q000628:therapy*; D008297:Male; D010995:Pleural Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D016156:Respiratory Tract Fistula / Q000209:etiology*; D016896:Treatment Outcome
D000970:Antineoplastic Agents