title: Spontaneous Hepatic Infarction in a Patient with Gallbladder Cancer.
abstract: Hepatic infarction is known as a rare disease entity in nontransplant patients. Although a few cases of hepatic infarction have been reported to be linked with invasive procedures, trauma, and hypercoagulability, a case of spontaneous hepatic infarction in a nontransplanted patient has hardly ever been reported. However, many clinical situations of patients with cancer, in particular biliary cancer, can predispose nontransplant patients to hepatic infarction. Besides, the clinical outcome of hepatic infarction in patients with cancer can be worse than in patients with other etiologies. As for treatment, anticoagulation treatment is usually recommended. However, because of its multifactorial etiology and combined complications, treatment of hepatic infarction is difficult and not simple. Herein, we report a case of fatal hepatic infarction that occurred spontaneously during the course of treatment in a patient with gallbladder cancer. Hepatic infarction should be considered as a possible fatal complication in patients during treatment of biliary malignancies.
authors.affiliation: Division of Medical Oncology, Department of Internal Medicine, Yeouido St Mary's Hospital, College of Medicine, Catholic University of Korea, Seoul, South Korea.
authors.forename: Kang Min
authors.initials: KM
authors.lastname: Lee
authors.affiliation: Division of Medical Oncology, Department of Internal Medicine, Yeouido St Mary's Hospital, College of Medicine, Catholic University of Korea, Seoul, South Korea.
authors.forename: Hannah
authors.initials: H
authors.lastname: Joung
authors.affiliation: Division of Medical Oncology, Department of Internal Medicine, Yeouido St Mary's Hospital, College of Medicine, Catholic University of Korea, Seoul, South Korea.
authors.forename: Jung Won
authors.initials: JW
authors.lastname: Heo
authors.affiliation: Division of Medical Oncology, Department of Internal Medicine, Yeouido St Mary's Hospital, College of Medicine, Catholic University of Korea, Seoul, South Korea.
authors.forename: Seo Kyung
authors.initials: SK
authors.lastname: Woo
authors.affiliation: Division of Medical Oncology, Department of Internal Medicine, Yeouido St Mary's Hospital, College of Medicine, Catholic University of Korea, Seoul, South Korea.
authors.forename: In Sook
authors.initials: IS
authors.lastname: Woo
authors.affiliation: Division of Medical Oncology, Department of Internal Medicine, Yeouido St Mary's Hospital, College of Medicine, Catholic University of Korea, Seoul, South Korea.
authors.forename: Yun Hwa
authors.initials: YH
authors.lastname: Jung
keywords: Gall bladder cancer; Hepatic infarction