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

Go Igarashi; Kenichiro Mikami; Naoya Sawada; Tetsu Endo; Norihiko Sueyoshi; Ken Sato; Fumiyasu Tsushima; Shinya Kakehata; Shuichi Ono; Masahiko Aoki; Akira Kurose; Hideki Iwamura; Shinsaku Fukuda

doi:10.2169/internalmedicine.0655-17

CASE REPORTS

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

Go Igarashi, Kenichiro Mikami, Naoya Sawada, Tetsu Endo, Norihiko Sueyoshi, Ken Sato, Fumiyasu Tsushima, Shinya Kakehata, Shuichi Ono, Masahiko Aoki, Akira Kurose, Hideki Iwamura, Shinsaku Fukuda

Author information

Go Igarashi
Department of Gastroenterology and Hematology, Hirosaki University Graduate School of Medicine, Japan
Kenichiro Mikami
Department of Gastroenterology and Hematology, Hirosaki University Graduate School of Medicine, Japan
Naoya Sawada
Department of Gastroenterology and Hematology, Hirosaki University Graduate School of Medicine, Japan
Tetsu Endo
Department of Gastroenterology and Hematology, Hirosaki University Graduate School of Medicine, Japan
Norihiko Sueyoshi
Department of Gastroenterology and Hematology, Hirosaki University Graduate School of Medicine, Japan
Ken Sato
Department of Gastroenterology and Hematology, Hirosaki University Graduate School of Medicine, Japan
Fumiyasu Tsushima
Department of Radiation and Radiation Oncology, Hirosaki University Graduate School of Medicine, Japan
Shinya Kakehata
Department of Radiation and Radiation Oncology, Hirosaki University Graduate School of Medicine, Japan
Shuichi Ono
Department of Radiation and Radiation Oncology, Hirosaki University Graduate School of Medicine, Japan
Masahiko Aoki
Department of Radiation and Radiation Oncology, Hirosaki University Graduate School of Medicine, Japan
Akira Kurose
Department of Anatomic Pathology, Hirosaki University Graduate School of Medicine, Japan
Hideki Iwamura
Department of Gastroenterology, Tsugaru General Hospita, Japan
Shinsaku Fukuda
Department of Gastroenterology and Hematology, Hirosaki University Graduate School of Medicine, Japan

Keywords: arterio-portal shunt, hepatic hemangioma, ascites, portal hypertension, transcatheter arterial embolization, N-butyl-2-cyanoacrylate

JOURNAL OPEN ACCESS

2018 Volume 57 Issue 19 Pages 2847-2851

DOI https://doi.org/10.2169/internalmedicine.0655-17

Browse “Advance online publication” version

Details

Abstract

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.

Corresponding author

Register with J-STAGE for free!