A Case of Hepaticoduodenal Fistula Development after Transarterial Chemoembolization in Patient with Hepatocellular Carcinoma | Zendy

Yoon Hea Park | Zendy; Se Hun Kang | Zendy; Seung Up Kim | Zendy; Do Young Kim | Zendy; Jun Yong Park | Zendy; Sang Hoon Ahn | Zendy; Kwang–Hyub Han | Zendy; Chae Yoon Chon | Zendy

Open Access

A Case of Hepaticoduodenal Fistula Development after Transarterial Chemoembolization in Patient with Hepatocellular Carcinoma

Author(s) -

Yoon Hea Park,

Se Hun Kang,

Seung Up Kim,

Do Young Kim,

Jun Yong Park,

Sang Hoon Ahn,

Kwang–Hyub Han,

Chae Yoon Chon

Publication year - 2011

Publication title -

korean journal of gastroenterology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.203

H-Index - 25

eISSN - 2233-6869

pISSN - 1598-9992

DOI - 10.4166/kjg.2011.58.3.149

Subject(s) - medicine , hepatocellular carcinoma , fistula , liver abscess , esophagogastroduodenoscopy , radiology , complication , abdomen , quadrant (abdomen) , transcatheter arterial chemoembolization , abdominal pain , surgery , abscess , endoscopy

Transarterial chemoembolization (TACE) is recommended as one of the first line therapy for unresectable hepatocellular carcinoma (HCC). Rupture of HCC following TACE is a rare and potentially fatal complication. We report a case of hepaticoduodenal fistula with ruptured HCC and liver abscess complicated by TACE. A 52-year-old male was treated by TACE three times, followed by radiation therapy and systemic chemotherapy. 30 days after the last TACE, right upper quadrant pain of abdomen was developed. About 1 month later, computed tomography of abdomen showed ruptured HCC with debris containing liver abscess and hepaticoduodenal fistula. Esophagogastroduodenoscopy revealed hepaticoduodenal fistula and hepatic parenchyme covered with exudate. The patient was managed with supportive care, but the hepaticoduodenal fistula persisted. (Korean J Gastroenterol 2011;58:149-152).

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