[A case of duodenal penetration by indwelling catheter during hepatic arterial infusion chemotherapy].
We report a patient with hepatic metastasis of descending colon cancer who underwent hepatic arterial infusion chemotherapy using 5-fluorouracil (5-FU) and CDDP, with an indwelling catheter and port system by GDA coil method. Since the tumor became smaller after five months, we decided to follow her up as an outpatient. Considering the possibility of its recurrence, the catheter-port system remained in her. Two and half years later, the recurrent hepatic metastasis was recognised and the hepatic arterial infusion chemotherapy was fulfilled again. The tumor obviously reduced and the same treatment was continued. However, he was hospitalized with a complaint of hematemesis. Upper gastrointestinal endoscopy revealed a projection around the splitting catheter in the duodenal bulb. Therefore, we embolized with coil under angiographic guidance in order not to bleed from the artery and removed the port. With this experience, special attention for the catheter port system must be taken if one considers a long-term treatment. Thereby, we report on the complications of the catheter-port system.
Hasegawa
Hirofumi
H
Department of Surgery, Kyushu Central Hospital of Mutual Aid Association of Public School Teachers.
Minagawa
Ryosuke
R
Hamatsu
Takayuki
T
Honbou
Takuya
T
Ushijima
Chie
C
Ikebe
Masahiko
M
Kitamura
Masayuki
M
Miura
Nobutoshi
N
D000368:Aged; D000964:Antimetabolites, Antineoplastic / Q000008:administration & dosage; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage; D002408:Catheters, Indwelling / Q000009:adverse effects*; D003110:Colonic Neoplasms / Q000188:drug therapy*; D004386:Duodenum / Q000293:injuries*; D005260:Female; D005472:Fluorouracil / Q000008:administration & dosage; D006801:Humans; D007261:Infusions, Intra-Arterial / Q000009:adverse effects / Q000379:methods*; D008113:Liver Neoplasms / Q000188:drug therapy* / Q000556:secondary*
D000964:Antimetabolites, Antineoplastic; D005472:Fluorouracil