title: Abdominal Skin Rash After TACE Due to Non-Target Embolization of Hepatic Falciform Artery.
abstract: Transcatheter arterial chemoembolization (TACE) is a well-recognized procedure for management of hepatocellular carcinoma. We present a 54-year-old man who presented with a periumbilical maculopapular skin rash that developed after an otherwise uneventful TACE procedure. A retrospective review of imaging was consistent with non-target embolization of the hepatic falciform artery (HFA). He was treated with oral non-steroidal antiinflammatory medication for 3 weeks with improvement, but had slight skin induration and an excoriated papule at 6-month follow-up. Non-target embolization of HFA is very rare, but clinicians and interventionalists should be aware of this complication, especially in patients predisposed to enlargement of HFA.
authors.affiliation: Department of Radiology, University of Iowa Hospitals and Clinics, Iowa City, IA; Department of Internal Medicine, Westchester Medical Center, New York Medical College, Valhalla, NY.
authors.forename: Prashant
authors.initials: P
authors.lastname: Nagpal
authors.affiliation: Department of Gastroenterology, Westchester Medical Center, New York Medical College, Valhalla, NY.
authors.forename: Mitesh
authors.initials: M
authors.lastname: Bhalala
authors.affiliation: Department of Pathology, University of Iowa Hospitals and Clinics, Iowa City, IA.
authors.forename: Aditi
authors.initials: A
authors.lastname: Vidholia
authors.affiliation: Department of Internal Medicine, Westchester Medical Center, New York Medical College, Valhalla, NY.
authors.forename: Rahul
authors.initials: R
authors.lastname: Sao
authors.affiliation: Department of Internal Medicine, Westchester Medical Center, New York Medical College, Valhalla, NY.
authors.forename: Nisha
authors.initials: N
authors.lastname: Sharma
authors.affiliation: Department of Internal Medicine, Westchester Medical Center, New York Medical College, Valhalla, NY.
authors.forename: Dhruv
authors.initials: D
authors.lastname: Mehta
authors.affiliation: Department of Radiology, Westchester Medical Center, New York Medical College, Valhalla, NY.
authors.forename: Sam
authors.initials: S
authors.lastname: McCabe
authors.affiliation: Department of Gastroenterology, Westchester Medical Center, New York Medical College, Valhalla, NY.
authors.forename: Roxana
authors.initials: R
authors.lastname: Bodin