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KMID : 0602620010070020189
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Korean Journal of Hepatology
2001 Volume.7 No. 2 p.189 ~ p.194
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Liver Abscess Formation in Non-Tumorous Parenchyma after Transcatheter Arterial Chemoembolization (TACE) for the Treatment of Hepatocellular Carcinoma Associated with Pneumobilia
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김용균/Yong Kyun Kim
유수은/홍창균/이성구/이소영/김영철/신제현/배시현/변병훈/최종영/박영민/정규원/선희식/박두호/김부성/정연주*/Su Eun Yu/Chang Kyun Hong/Sung Ku Lee/Young Chul Kim/So Young Lee/Si Hyun Bae/Je Hyun Shin/Byung Hun Byun/Jong Young Choi/Young Min Park/Kyu Won Chun
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Abstract
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Transcatheter arterial chemoembolization (TACE) is widely used to treat inoperable hepatocellular carcinoma and metastatic tumor of the liver. Among the complications occurring after TACE, liver abscess formation in HCC is a fatal complication.
The
reported incidence of this complication ranges from 0% to 3.3%. Moreover, liver abscess formation in non-tumorous parenchyma is very rare. The pathogenic mechanism of this complication has been linked to several factors but retrograde enteric
bacterial
contamination of the biliary tract appears to be the most commonly implicated cause. The major risk factors of the biliary tract infection are pneumobilia, portal vein thrombosis, bilo-enteric anastomosis and biliary obstruction. We report a rare
case
of liver abscess formation in non-tumorous liver parenchyma after TACE for the treatment of hepatocellular carcinoma in a patient with pneumobilia.
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