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KMID : 1039320190190010059
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Journal of Liver Cancer
2019 Volume.19 No. 1 p.59 ~ p.63
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A Case of Spontaneous Rupture of Hepatocellular Carcinoma Supplied by the Right Renal Capsular Artery Treated by Transcatheter Arterial Embolization
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Jang Joo-Yeon
Jeon Ung-Bae
Kim Jin-Hyeok
Kim Tae-Un
Ryu Hwa-Seong
Cho Mong
Hong Young-Mi
Kim Mae-Ran
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Abstract
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We present a case of spontaneous rupture of hepatocellular carcinoma with poor liver function managed by transcatheter arterial embolization (TAE). The patient’s bilirubin level was 2.1 mg/dL, albumin level was 2.4 g/dL, and prothrombin time international normalized ratio was 2.1. In addition, the patient had also developed a large number of ascites. The tumor was supplied by the right renal capsular artery, as observed on angiography. With successful TAE, no hepatic failure occurred. We believe TAE can be a safe and effective treatment option, even in patients with poor liver function, if tumors are supplied only by extrahepatic collateral vessels.
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KEYWORD
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Hepatocellular carcinoma, Spontaneous rupture, Renal capsular artery, Extrahepatic collateral, Transcatheter arterial embolization
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