Koizumi J, Kodera K, Kaneda S
Department of Radiology, Saiseikai Central Hospital.
Nihon Igaku Hoshasen Gakkai Zasshi. 1990 Jun 25;50(6):592-8.
Transcatheter hepatic arterial embolization for not only hepatocellular carcinoma but metastatic liver cancers is nowadays prevalent. Gall bladder infarction, cholangitis, peptic ulcers, pancreatitis, and aneurysm are reported as complications of it. But the liver abscess following it is rare. We reviewed three cases of liver abscesses after transcatheter hepatic arterial embolization. Biliary tract congestion and inflammation, and iatrogenic contaminations are supposed to major factors that caused liver abscesses. We think we should refrain from the embolization until biliary tract disorders are resolved and take care not to contaminate the proceeding materials in addition to mixing antibiotics with embolus.
如今,经导管肝动脉栓塞术不仅用于肝细胞癌,也用于转移性肝癌,颇为常见。胆囊梗死、胆管炎、消化性溃疡、胰腺炎和动脉瘤被报道为其并发症。但其引发的肝脓肿较为罕见。我们回顾了3例经导管肝动脉栓塞术后发生肝脓肿的病例。胆道充血和炎症以及医源性污染被认为是导致肝脓肿的主要因素。我们认为在胆道疾病得到解决之前应避免进行栓塞,除了在栓塞剂中混合抗生素外,还要注意避免手术材料受到污染。