title: Transcatheter arterial embolization with trisacryl gelatin microspheres (Embosphere(®)) leads to life-threatening tumor lysis syndrome in a rectal carcinoid patient with hepatic metastases.
abstract: The incidence of gastrointestinal carcinoids appears to be increasing, and the rectum is the third most common location. Transcatheter arterial embolization (TAE) with trisacryl gelatin microspheres (Embosphere(®)) has been reported as an effective method for hepatic metastases of rectal carcinoids. Complications are uncommon and usually of minor consequence. We report an unusual case of a 34-year-old man with tumor lysis syndrome following TAE with Embosphere(®) in a patient with multiple hepatic metastases of a rectal carcinoid. Early detection and effective treatment are essential for this rare but potentially catastrophic complication.
authors.affiliation: Division of Endocrinology and Metabolism, Department of Medicine, Taipei Veterans General Hospital , Taipei.
authors.forename: Yuan-Hao
authors.initials: YH
authors.lastname: Lo
authors.forename: Ming-Tsun
authors.initials: MT
authors.lastname: Tsai
authors.forename: Chen-Yu
authors.initials: CY
authors.lastname: Kuo
authors.forename: Wen-Sheng
authors.initials: WS
authors.lastname: Liu
authors.forename: Rheun-Chuan
authors.initials: RC
authors.lastname: Lee
authors.forename: Yi-Chen
authors.initials: YC
authors.lastname: Yeh
authors.forename: Chung-Pin
authors.initials: CP
authors.lastname: Li
authors.forename: Jinn-Yang
authors.initials: JY
authors.lastname: Chen
authors.forename: Yee
authors.initials: Y
authors.lastname: Chao
keywords: Transcatheter arterial embolization; rectal carcinoid tumors; trisacryl gelatin microspheres; tumor lysis syndrome