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Journal of Case Reports
Fatal Hepatic Necrosis after Transcatheter Arterial Embolization for Blunt Hepatic Trauma
Masafumi Toguchi1, Tsuyoshi Tajima1, Akiyoshi Hagiwara2, Toru Igari3, Kanehiro Hasuo1
Departments of Radiology1, Emergency2 and Pathology3, National Center for Global Health and Medicine, Tokyo-162-8655, Japan.
Corresponding Author:
Dr. Tsuyoshi Tajima
Email: ttajima@kyj.biglobe.ne.jp
Received: 04-OCT-2014 Accepted: 31-DEC-2014 Published Online: 15-JAN-2015
DOI: http://dx.doi.org/10.17659/01.2015.0006
Hepatic necrosis after transcatheter arterial embolization (TAE) is rare because of the dual blood supply to the hepatic parenchyma via the portal vein and hepatic artery. We describe a patient with blunt hepatic injury who had a portal-systemic venous shunt in the right posterior segment of the liver and who suffered a fatal hepatic necrosis after TAE. A 74-year-old female with blunt hepatic injury was treated by TAE: both the right hepatic artery and middle hepatic artery were embolized using gelatin sponge particles. She developed multiple organ failure and died four days after the TAE. Autopsy revealed massive necrosis in the right lobe and left medial segment of the liver. To the best of our knowledge, this is the first report of hepatic necrosis after TAE for blunt liver trauma related to a portal-systemic venous shunt.
Keywords : Embolization, Hepatic Artery, Portal Vein, Portasystemic Shunt, Liver, Autopsy, Humans.
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