Percutaneous transumbilical portal vein embolization in a patient with a ruptured hepatocellular carcinoma supplied by the portal vein.
We describe a case of a ruptured hepatocellular carcinoma supplied by the portal vein that was successfully treated with portal vein embolization via a percutaneous transumbilical approach. A contrast material-enhanced computed tomographic (CT) scan showed the presence of a large hypervascular tumor on portal venous phase as well as right hepatic vein thrombosis and hemoperitoneum that prevented portal vein embolization by the use of the percutaneous and transjugular transhepatic approach. The use of percutaneous transumbilical portal vein embolization can be an alternative option in this situation.
Department of Radiology, Seoul National University College of Medicine, Seoul, Korea.
Soo Chin
SC
Kim
Hyo-Cheol
HC
Kim
Jin Wook
JW
Chung
Hwan Jun
HJ
Jae
Jae Hyung
JH
Park
D000792:Angiography; D006528:Carcinoma, Hepatocellular / Q000098:blood supply* / Q000000981:diagnostic imaging / Q000628:therapy*; D016461:Chemoembolization, Therapeutic; D004621:Embolization, Therapeutic / Q000379:methods*; D006465:Hemoperitoneum / Q000000981:diagnostic imaging / Q000628:therapy*; D019694:Hepatitis B, Chronic / Q000150:complications; D006801:Humans; D008113:Liver Neoplasms / Q000098:blood supply* / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011169:Portal Vein / Q000000981:diagnostic imaging; D011172:Portography; D019233:Retreatment; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed; D014471:Umbilical Veins