油性化学塞栓療法:Transcatheter Oily Chemoembolization後に肝内bile cystを形成した1例

鶴田 正太郎; 満岡 聰; 田島 平一郎; 島 正義; 中田 恵輔; 楠本 征夫; 石井 伸子; 小路 敏彦; 長瀧 重信

doi:10.2957/kanzo.31.576

Hepatic bile cyst, as a side effect of transcatheter oily chemoembolization

Report of a case

Shotaro TSURUTA, Satoshi MITSUOKA, Heiichiro TAJIMA, Masayoshi SHIMA, Keisuke NAKATA, Yukio KUSUMOTO, Nobuko ISHII, Toshihiko KOJI, Shigenobu NAGATAKI

Author information

Shotaro TSURUTA
First Department of Internal Medicine, Nagasaki University, School of Medicine
Satoshi MITSUOKA
First Department of Internal Medicine, Nagasaki University, School of Medicine
Heiichiro TAJIMA
First Department of Internal Medicine, Nagasaki University, School of Medicine
Masayoshi SHIMA
First Department of Internal Medicine, Nagasaki University, School of Medicine
Keisuke NAKATA
First Department of Internal Medicine, Nagasaki University, School of Medicine
Yukio KUSUMOTO
First Department of Internal Medicine, Nagasaki University, School of Medicine
Nobuko ISHII
Health Center, Nagasaki University
Toshihiko KOJI
Health Center, Nagasaki University
Shigenobu NAGATAKI
First Department of Internal Medicine, Nagasaki University, School of Medicine

Keywords: bile cyst, lipiodol

JOURNAL FREE ACCESS

1990 Volume 31 Issue 5 Pages 576-580

DOI https://doi.org/10.2957/kanzo.31.576

Details

Abstract

A 74-year-old man was admitted because of a hepatic tumor. Since the diagnosis of hepatocellular carcinoma was obtained clinically, transcatheter oily chemoembolization (TOCE) was performed. The tumor size decreased markedly, but the recurrence of the tumor was also recognized. The second TOCE was performed five months after the first TOCE. A sterile hepatic bile cyst was detected by CT scan twenty four days after the second TOCE.
Since bile ducts are supplyed predominantly by hepatic arteries, it appears that bile duct infarction and bile cyst formation occur due to the second TOCE in the case.

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