Department of Radiology, Pusan National University Yangsan Hospital, School of Medicine, Pusan National University, Yangsan 50612, Republic of Korea.
Department of Internal Medicine, Pusan National University Yangsan Hospital, School of Medicine, Pusan National University, Yangsan 50612, Republic of Korea.
Medicina (Kaunas). 2024 Apr 25;60(5):701. doi: 10.3390/medicina60050701.
: Transarterial chemoembolization (TACE) is a widely accepted treatment for hepatocellular carcinoma (HCC). Regarding TACE, arterial injuries, such as hepatic artery spasm or dissection, can also occur, although pseudoaneurysms are rare. We report a case of pseudoaneurysm following TACE. : A 78-year-old man had been undergoing TACE for HCC in segment 8 of the liver for the past 5 years, with the most recent TACE procedure performed approximately 1 month prior. He presented to the emergency department with melena that persisted for 5 days. Computed tomography revealed a pseudoaneurysm in the S8 hepatic artery with hemobilia. : the pseudoaneurysm was successfully treated by N-Butyl-cyanoacrylate glue embolization. : In patients that have undergone TACE presenting with melena and hemobilia identified on CT, consideration of hepatic artery pseudoaneurysm is crucial. Such cases can be safely and effectively treated with endovascular managements.
经动脉化疗栓塞术（TACE）是治疗肝细胞癌（HCC）的一种广泛接受的方法。关于 TACE，也可能发生动脉损伤，如肝动脉痉挛或夹层，但假性动脉瘤很少见。我们报告一例 TACE 后假性动脉瘤的病例。
一名 78 岁男性在过去 5 年中一直在接受第 8 段肝肿瘤的 TACE 治疗，最近一次 TACE 手术大约在 1 个月前进行。他因黑便持续 5 天而到急诊科就诊。计算机断层扫描显示 S8 肝动脉假性动脉瘤合并胆血症。
假性动脉瘤通过 N-丁基-氰基丙烯酸酯胶栓塞成功治疗。
对于接受 TACE 治疗并在 CT 上发现黑便和胆血症的患者，应考虑肝动脉假性动脉瘤。此类病例可通过血管内治疗安全有效地治疗。
