Interventional Treatment for Giant Hepatic Hemangioma Accompanied by Arterio-portal Shunt with Ascites

A 73-year-old woman with massive ascites associated with a giant hepatic mass accompanied by arterio-portal (AP) shunt was admitted to our hospital. Based on contrast-enhanced computed tomography (CT) and angiography findings, hepatic hemangioma with AP shunt and ascites due to portal hypertension w...

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Detalles Bibliográficos
Autores principales: Igarashi, Go, Mikami, Kenichiro, Sawada, Naoya, Endo, Tetsu, Sueyoshi, Norihiko, Sato, Ken, Tsushima, Fumiyasu, Kakehata, Shinya, Ono, Shuichi, Aoki, Masahiko, Kurose, Akira, Iwamura, Hideki, Fukuda, Shinsaku
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207813/
https://www.ncbi.nlm.nih.gov/pubmed/29709944
http://dx.doi.org/10.2169/internalmedicine.0655-17
Descripción
Sumario:A 73-year-old woman with massive ascites associated with a giant hepatic mass accompanied by arterio-portal (AP) shunt was admitted to our hospital. Based on contrast-enhanced computed tomography (CT) and angiography findings, hepatic hemangioma with AP shunt and ascites due to portal hypertension was diagnosed. Transcatheter arterial embolization (TAE) by N-butyl-2-cyanoacrylate (NBCA) was performed without complications. The patient's ascites disappeared, and her liver function test results improved after the treatment. The patient has maintained a steady state for two years. This case indicates that TAE with NBCA is a safe and effective treatment for hepatic hemangioma accompanied by AP shunt.

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