title: [Hepatogastric fistula after chemoembolization of liver metastasis: a case report].
abstract: Liver metastases of colorectal cancer are a challenge in current oncology. Less than 5% of untreated patients are alive after 5 years of diagnosis. The only curative treatment is surgical resection, but there are other options for palliative or neoadjuvant treatment such as transarterial chemoembolization. Serious complications after liver chemoembolization are very rare, and one of the possible complications is a liver abscess. We report a case of hepatogastric fistula caused by a liver abscess ten days after the chemoembolization of a liver metastasis. It was treated surgically with left hepatectomy and parcial gastrectomy, with good outcome. There are only a few reported cases of hepatogastric fistula after liver transarterial chemoembolization.
authors.affiliation: Hospital das Clínicas da Universidade de São Paulo, São Paulo, Brasil. kober.ana@gmail.com
authors.forename: Ana Kober Nogueira
authors.initials: AK
authors.lastname: Leite
authors.forename: Andreas Johann Molnar
authors.initials: AJ
authors.lastname: Koszka
authors.forename: Ricardo
authors.initials: R
authors.lastname: Portieri
authors.forename: Marcus Vinicius Campos
authors.initials: MV
authors.lastname: Bittencourt
authors.forename: Walter Kegham
authors.initials: WK
authors.lastname: Karakhanian
authors.forename: Mauricio Alves
authors.initials: MA
authors.lastname: Ribeiro
authors.forename: Wagner
authors.initials: W
authors.lastname: Valentino
authors.forename: José Flávio Andrade
authors.initials: JF
authors.lastname: da Silva
authors.forename: Andre Ibrahim
authors.initials: AI
authors.lastname: David
mesh_terms: D000368:Aged; D016461:Chemoembolization, Therapeutic / Q000009:adverse effects*; D003110:Colonic Neoplasms; D016154:Digestive System Fistula / Q000209:etiology*; D005747:Gastric Fistula / Q000209:etiology; D006801:Humans; D008107:Liver Diseases / Q000209:etiology; D008113:Liver Neoplasms / Q000556:secondary* / Q000628:therapy; D008297:Male