Pulmonary embolism after arterial chemoembolization for hepatocellular carcinoma: An autopsy case report

作者：Hatamaru Keiichi^*; Azuma Shunjiro; Akamatsu Takuji; Seta Takeshi; Urai Shunji; Uenoyama Yoshito; Yamashita Yukitaka; Ono Kazuo

来源：World Journal of Gastroenterology, 2015, 21(4): 1344-1348.

DOI：10.3748/wjg.v21.i4.1344

• Hepatocellular carcinoma
• Transcatheter arterial chemoembolization
• Pulmonary lipiodol embolism
• Acute respiratory distress syndrome
• Autopsy

We report an extremely rare case of pulmonary lipiodol embolism with acute respiratory distress syndrome (ARDS) after transcatheter arterial chemoembolization (TACE) for hepatocellular carcinoma (HCC). A 77-yearold man who was diagnosed with a huge HCC was admitted for TACE. Immediately after the procedure, this patient experienced severe dyspnea. We suspected that his symptoms were associated with a pulmonary lipiodol embolism after TACE, and we began intensive treatment. However, his condition did not improve, and he died on the following day. A subsequent autopsy revealed that the cause of death was ARDS due to pulmonary lipiodol embolism. No cases have been previously reported for which an autopsy was performed to explain the most probable mechanism of pulmonary lipiodol embolism; thus, ours is the first report for such a rare case.

• 出版日期2015-1-28