title: Acute pancreatitis after transcatheter arterial chemoembolization for liver metastases of carcinoid tumors.
abstract: Acute pancreatitis is a rare side effect of non-selective transcatheter arterial chemoembolization (TACE) of hepatocellular carcinoma with an incidence ranging from 2% (clinical pancreatitis) to 40% (biological pancreatitis). This complication, due to embolization of extrahepatic arterial collaterals, has never been reported for treatment of well-differentiated endocrine carcinoma. We report here a case of acute clinical pancreatitis developing within 24 hours after a first selective TACE into the proper hepatic artery, with two peaks of hyperlypasemia, and intend to discuss its mechanism. Since it may clinically mimic a postembolization syndrome, dosage of serum pancreatic enzymes should be performed systematically in case of abdominal pain following TACE.
authors.affiliation: Service d'oncologie médicale, hôpital Edouard-Herriot, hospices civils de Lyon, 5, place d'Arsonval, 69437 Lyon cedex 03, France.
authors.forename: V
authors.initials: V
authors.lastname: Chey
authors.forename: X
authors.initials: X
authors.lastname: Chopin-laly
authors.forename: C
authors.initials: C
authors.lastname: Micol
authors.forename: V
authors.initials: V
authors.lastname: Lepiliez
authors.forename: J
authors.initials: J
authors.lastname: Forestier
authors.forename: C
authors.initials: C
authors.lastname: Lombard-bohas
authors.forename: T
authors.initials: T
authors.lastname: Walter
mesh_terms: D000208:Acute Disease; D002276:Carcinoid Tumor / Q000556:secondary / Q000628:therapy; D002404:Catheterization; D016461:Chemoembolization, Therapeutic / Q000009:adverse effects* / Q000379:methods; D006499:Hepatic Artery; D006801:Humans; D008113:Liver Neoplasms / Q000188:drug therapy / Q000556:secondary; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000209:etiology*