Korean J Hepatol.
1999 Dec;5(4):348-352.
A Case of Necrotizing Liver Abscess and Bile Duct Necrosis Following
Hepatic Arterial Chemoembolization in Hepatocelluar Carcinoma
Abstract
- Transcatheter arterial chemoembolization (TACE) is widely used in the treatment of
hepatocellular carcinomas. We report a case of mult iple liver abscess with bile duct necrosis
following gallbladder infarction after TACE in a patient with hepatocellular carcinoma.
A 62-year old man, wit h four cm sized hepatocellular carcinoma in right lobe, was treat
ed by TACE for six times during 18 months. Two days after the last TACE, acute cholecystitis
occurred and antibiotics were used until the recovery of cholecystitis. After two months,
abdominal CT scan revealed a gas containing liver abscess and percutaneous transhepatic
drainage was performed. Cholangiography via drainage cathet er showed findings of bile
duct necrosis. Ant ibiotics sensit ive to the causative organism were administered
intravenously. However, the abscess persisted despite of treatment for three mont hs.