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Korean J Gastrointest Endosc. 2002 Oct;25(4):237-241. Korean. Case Report.
Kim JH , Kim SH , Park JY , Kim JH , Park SW , Lee SJ , Chung JP , Song SY , Chung JB , Kang JK .
Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. swoopark@yumc.yonsei.ac.kr
Abstract

Acute hepatic failure, liver infarction, abscess, intrahepatic biloma, and multiple intrahepatic aneurysms could be complicated after transcatheter arterial embolization (TAE) in a patient with hepatocellular carcinoma. Conservative managements such as nutritional support and control of sepsis for gastrointestinal fistula have been recommended for the last few decades. Histoacryl(R) has been applied to treat gastrointestinal fistula. We report a case of liver abscess after TAE followed by hepatosubphrenic abscess in a patient with hepatocellular carcinoma. The fistula between liver abscess and subphrenic abscess was occluded with Histoacryl(R) injection by ERCP. Endoscopic nasobiliary drainage and percutaneous drainage were performed respectively. Both abscesses were treated, but the patient died of hepatic failure.

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