Abdominal Skin Rash After TACE Due to Non-Target Embolization of Hepatic Falciform Artery

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 im...

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Detalles Bibliográficos
Autores principales: Nagpal, Prashant, Bhalala, Mitesh, Vidholia, Aditi, Sao, Rahul, Sharma, Nisha, Mehta, Dhruv, McCabe, Sam, Bodin, Roxana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American College of Gastroenterology 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4843162/
https://www.ncbi.nlm.nih.gov/pubmed/27144210
http://dx.doi.org/10.14309/crj.2016.55
Descripción
Sumario: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.

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