Ischemic small bowel perforation caused by cholesterol crystal embolism following transcatheter arterial chemoembolization for recurrent hepatocellular carcinoma: a case report

BACKGROUND: Cholesterol crystal embolism (CCE) following transcatheter arterial chemoembolization (TACE) is rare. CASE PRESENTATION: A 71-year-old man underwent TACE for recurrence of hepatocellular carcinoma (HCC). On postoperative day (POD) 5, he developed abdominal pain and fever. Computed tomogr...

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Autores principales: Hamura, Ryoga, Haruki, Koichiro, Iwase, Ryota, Furukawa, Kenei, Shirai, Yoshihiro, Onda, Shinji, Gocho, Takeshi, Ikegami, Toru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7876172/
https://www.ncbi.nlm.nih.gov/pubmed/33566211
http://dx.doi.org/10.1186/s40792-021-01116-8
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author Hamura, Ryoga
Haruki, Koichiro
Iwase, Ryota
Furukawa, Kenei
Shirai, Yoshihiro
Onda, Shinji
Gocho, Takeshi
Ikegami, Toru
author_facet Hamura, Ryoga
Haruki, Koichiro
Iwase, Ryota
Furukawa, Kenei
Shirai, Yoshihiro
Onda, Shinji
Gocho, Takeshi
Ikegami, Toru
author_sort Hamura, Ryoga
collection PubMed
description BACKGROUND: Cholesterol crystal embolism (CCE) following transcatheter arterial chemoembolization (TACE) is rare. CASE PRESENTATION: A 71-year-old man underwent TACE for recurrence of hepatocellular carcinoma (HCC). On postoperative day (POD) 5, he developed abdominal pain and fever. Computed tomography revealed intraperitoneal free air. The patient was diagnosed with gastrointestinal perforation with peritonitis, for which partial intestinal resection and covering ileostomy were performed. Histological examination revealed perforation of the small intestine caused by CCE. The patient made a satisfactory recovery and was discharged on POD 30. The patient showed no recurrence of cholesterol crystal embolism or HCC for 2 years after surgery. CONCLUSION: We reported a successfully treated case of ischemic small bowel perforation due to cholesterol crystal embolism following transcatheter arterial chemoembolization for recurrent HCC.
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spelling pubmed-78761722021-02-24 Ischemic small bowel perforation caused by cholesterol crystal embolism following transcatheter arterial chemoembolization for recurrent hepatocellular carcinoma: a case report Hamura, Ryoga Haruki, Koichiro Iwase, Ryota Furukawa, Kenei Shirai, Yoshihiro Onda, Shinji Gocho, Takeshi Ikegami, Toru Surg Case Rep Case Report BACKGROUND: Cholesterol crystal embolism (CCE) following transcatheter arterial chemoembolization (TACE) is rare. CASE PRESENTATION: A 71-year-old man underwent TACE for recurrence of hepatocellular carcinoma (HCC). On postoperative day (POD) 5, he developed abdominal pain and fever. Computed tomography revealed intraperitoneal free air. The patient was diagnosed with gastrointestinal perforation with peritonitis, for which partial intestinal resection and covering ileostomy were performed. Histological examination revealed perforation of the small intestine caused by CCE. The patient made a satisfactory recovery and was discharged on POD 30. The patient showed no recurrence of cholesterol crystal embolism or HCC for 2 years after surgery. CONCLUSION: We reported a successfully treated case of ischemic small bowel perforation due to cholesterol crystal embolism following transcatheter arterial chemoembolization for recurrent HCC. Springer Berlin Heidelberg 2021-02-10 /pmc/articles/PMC7876172/ /pubmed/33566211 http://dx.doi.org/10.1186/s40792-021-01116-8 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Case Report
Hamura, Ryoga
Haruki, Koichiro
Iwase, Ryota
Furukawa, Kenei
Shirai, Yoshihiro
Onda, Shinji
Gocho, Takeshi
Ikegami, Toru
Ischemic small bowel perforation caused by cholesterol crystal embolism following transcatheter arterial chemoembolization for recurrent hepatocellular carcinoma: a case report
title Ischemic small bowel perforation caused by cholesterol crystal embolism following transcatheter arterial chemoembolization for recurrent hepatocellular carcinoma: a case report
title_full Ischemic small bowel perforation caused by cholesterol crystal embolism following transcatheter arterial chemoembolization for recurrent hepatocellular carcinoma: a case report
title_fullStr Ischemic small bowel perforation caused by cholesterol crystal embolism following transcatheter arterial chemoembolization for recurrent hepatocellular carcinoma: a case report
title_full_unstemmed Ischemic small bowel perforation caused by cholesterol crystal embolism following transcatheter arterial chemoembolization for recurrent hepatocellular carcinoma: a case report
title_short Ischemic small bowel perforation caused by cholesterol crystal embolism following transcatheter arterial chemoembolization for recurrent hepatocellular carcinoma: a case report
title_sort ischemic small bowel perforation caused by cholesterol crystal embolism following transcatheter arterial chemoembolization for recurrent hepatocellular carcinoma: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7876172/
https://www.ncbi.nlm.nih.gov/pubmed/33566211
http://dx.doi.org/10.1186/s40792-021-01116-8
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