Grover Inderpreet, Ahmad Naveed, Googe Amber B
Internal Medicine, G.V. (Sonny) Montgomery VA Medical Center, Jackson, Miss., USA.
Department of Gastroenterology, Indiana University Health Arnett, Lafayette, Ind., USA.
Case Rep Gastroenterol. 2014 Oct 3;8(3):286-90. doi: 10.1159/000368302. eCollection 2014 Sep.
Hepatogastric fistula (HGF) formation following transcatheter arterial chemoembolization (TACE) leads to increased morbidity and mortality. A 51-year-old Caucasian male with chronic hepatitis B virus-associated cirrhosis and unresectable hepatocellular carcinoma (HCC) presented to the Interventional Radiology Unit for TACE to achieve tumor necrosis. Following the procedure, the patient was admitted with symptoms of fever, epigastric and right upper quadrant pain secondary to the development of an abscess. The abscess was drained; however, an exceedingly rare HGF resulted that was favored to represent a direct invasion of HCC. HGF, the rare complication following TACE, leads to grave consequences and vigilant monitoring, for the development of this entity is recommended to reduce patient mortality. We present a case and literature review of HGF development following TACE for HCC.
经动脉化疗栓塞术（TACE）后发生肝胃瘘（HGF）会导致发病率和死亡率升高。一名51岁的白种男性，患有慢性乙型肝炎病毒相关性肝硬化和不可切除的肝细胞癌（HCC），因TACE致肿瘤坏死而就诊于介入放射科。术后，患者因脓肿形成出现发热、上腹部和右上腹疼痛症状而入院。脓肿已引流；然而，出现了极为罕见的HGF，这可能是HCC直接侵犯所致。HGF是TACE后罕见的并发症，会导致严重后果，建议密切监测，以减少患者死亡率。我们报告一例TACE治疗HCC后发生HGF的病例并进行文献复习。
