Direct duodenal invasion of hepatocellular carcinoma. Intestinal hemorrhage treated by transcatheter arterial embolization

Clin Imaging. 1998 May-Jun;22(3):196-9. doi: 10.1016/s0899-7071(97)00125-3.

Abstract

This report describes a case of direct duodenal invasion of hepatocellular carcinoma with massive intermittent gastrointestinal (GI) bleeding. Progressive anemia was intractable by supportive therapy alone, and repeated blood transfusion was necessary. Transcatheter arterial embolization was finally carried out, which dramatically reduced the amount of transfusion. Owing to severe blood loss, patients with GI tract involvement generally have a poor prognosis.

Publication types

  • Case Reports

MeSH terms

  • Angiography
  • Carcinoma, Hepatocellular / complications
  • Carcinoma, Hepatocellular / diagnostic imaging
  • Carcinoma, Hepatocellular / pathology*
  • Duodenal Diseases / diagnostic imaging
  • Duodenal Diseases / etiology
  • Duodenal Diseases / pathology*
  • Embolization, Therapeutic*
  • Endoscopy, Digestive System
  • Fatal Outcome
  • Follow-Up Studies
  • Gastrointestinal Hemorrhage / etiology
  • Gastrointestinal Hemorrhage / therapy*
  • Humans
  • Liver Neoplasms / complications
  • Liver Neoplasms / diagnostic imaging
  • Liver Neoplasms / pathology*
  • Male
  • Middle Aged
  • Neoplasm Invasiveness
  • Tomography, X-Ray Computed