Gastrointestinal Elimination of a Hepatocellular Carcinoma

A 60-year-old man with hepatitis C underwent chemoembolization of a 4.2  × 5.0-cm segment IVa hepatocellular carcinoma (Fig 1). Doxorubicin, mitomycin, Lipiodol (Guerbet, Roissy, France), and 200–300-μm polyvinyl alcohol particles were used to embolize the tumor on two occasions. Immediately after the second procedure, he experienced nausea, vomiting, and epigastr ic pain. Computed tomography (CT) performed on postprocedure day 13 demonstrated a gastric wall perforation with subhepatic collection (Fig 2), which was possibly a result of unseen right gastric artery nontarget embolization.
Source: Journal of Vascular and Interventional Radiology : JVIR - Category: Radiology Authors: Tags: Images in IR Source Type: research