J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 2199KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 88(3): 354-358, 1981

Case report

A CASE OF NECROSIS OF A HEPATOCELLULAR CARCINOMA, CAUSED BY SPASM OF THE CELIAC ARTERY

Dept. of Surgery, Moji Hospital of Japanese National Railways, Kitakyushu, Japan

Shuichi Iwasaki, Sumio Waki, Shinichi Maruta, Mitsuaki Fujita

A 54-year-old man was admitted to our hospital complaining of back pain and right hypochondrial pain. Ultrasonography and celiac angiography revealed a large tumor sized 9.4 × 8.1cm. The tumor appeared hypervascular on angiogram. During the second angiography, an attempt at superselective hepatic angiography for the purpose of infusing a combination of Adriamycin and Lipiodol, spasm of the celiac artery occurred.
High fever continued for 11 days after the spasm and serum transaminase was elevated. At the third angiography, the nature of the tumor was seen to have changed remarkably to one of hypovascularity.
Percutaneous transhepatic tumor biopsy was done. Pathological diagnosis was necrosis of hepatocellular carcinoma.
Due to heart disorders, ligation of the right hepatic artery was performed instead of hepatic resection.
Postoperatively, the size of the tumor decreased further.
It is thought that this patient had a tendency to suffer from vasospasm and that the tumor had a relatively low resistance to ischemia.

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