Diaphragmatic perforation after transcatheter arterial chemoembolization of hepatocellular carcinoma via inferior phrenic artery: a case reportopen access
- Authors
- Kim, Ji Soo; Lee, Hyoung Nam; Lee, Woong Hee; Hyun, Suk
- Issue Date
- 5-Feb-2022
- Publisher
- BioMed Central
- Keywords
- Embolization; Therapeutic; Hernia; Diaphragmatic; Multidetector Computed Tomography; Carcinoma; Hepatocellular; Case Reports
- Citation
- BMC Gastroenterology, v.22, no.1, pp 1 - 5
- Pages
- 5
- Journal Title
- BMC Gastroenterology
- Volume
- 22
- Number
- 1
- Start Page
- 1
- End Page
- 5
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/20391
- DOI
- 10.1186/s12876-022-02110-6
- ISSN
- 1471-230X
- Abstract
- Background Transcatheter arterial chemoembolization (TACE) via the inferior phrenic artery has been recognized to have its own therapeutic role without causing serious procedural complications. We report a case of diaphragmatic perforation after repeated TACE sessions conducted via the right inferior phrenic artery. Case presentation A 43-year-old man diagnosed with hepatocellular carcinoma was admitted to the hospital with a chief complaint of cough. The patient underwent TACE via the right inferior phrenic artery 3 months prior and was discharged without specific complications. Physical examination revealed decreased breathing sounds in the right lower lung zone. Chest radiograph demonstrated a small right pleural effusion. Chest CT scan revealed a small diaphragmatic perforation. The patient was unable to undergo surgical exploration, and a follow-up CT scan after 2 months revealed progression of the right diaphragmatic perforation with massive herniation of omental fat into the thoracic cavity. Conclusions Although TACE via the inferior phrenic artery is a relatively safe procedure, it can be associated with rare but serious complications after repeated procedures. This is a rare case report of diaphragmatic perforation after TACE via the right inferior phrenic artery. Early recognition and prompt surgical management are essential to prevent catastrophic outcomes.
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Collections - College of Medicine > Department of Radiology > 1. Journal Articles
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