Cystic artery embolism after transarterial chemoembolization for hepatocellular carcinoma:A case report and review of the literature  

作　　者：Yi-Fan Chen Zhen-Yi Lin Lin-Tao Chen Yu Zhang Zhao-Qing Du 

机构地区：[1]Department of Hepatobiliary Surgery,Shaanxi Provincial People’s Hospital,Xi’an 710068,Shaanxi Province,China [2]Department of Gastroenterology,Peking University Third Hospital,Beijing 100191,China [3]Medical Student,10 Medical Dr,Singapore 117597,Singapore [4]Xizang Minzu University,Xianyang 712082,Shaanxi Province,China [5]National Engineering Research Center for Miniaturized Detection Systems,College of Life Science,Northwest University of Xi'an,Xi'an 710069,Shaanxi Province,China

出　　处：《World Journal of Gastrointestinal Oncology》2025年第3期385-393,共9页世界胃肠肿瘤学杂志(英文)

基　　金：National Natural Science Foundation of China,No.82200686;Shaanxi Provincial People's Hospital Incubation Project,No.2022YJY-14.

摘　　要：BACKGROUND Acute cholecystitis due to unintended cystic artery embolism is an uncommon and mostly self-limiting complication after transarterial chemoembolization procedure for treatment of hepatocellular carcinoma.Usually,conservative management is sufficient for complete recovery of patients who develop this complication.If conservative treatment is ineffective,urgent surgical inter-vention may be required to prevent the progression of complications.CASE SUMMARY This article reports a rare and serious case of acute cholecystitis complicated by gallbladder necrosis and biliary peritonitis,which was initially treated conservatively but eventually necessitated emergency laparotomy.The patient initially presented with equivocal symptoms of fever and upper abdominal pain and distention,which worsened at the two weeks mark along with emergence of signs of peritonitis.This was managed by emergency laparotomy and cholecystostomy,allowing rapid symptom relief.The patient ultimately discharged and succumbed to advanced liver cancer 11 months after diagnosis.CONCLUSION After cholecystostomy,the patient showed symptom relief and was discharged,surviving 11 months post-stage IIIB liver cancer diagnosis.

关 键 词：Cystic artery embolism Transarterial chemoembolization Hepatocellular carcinoma DIAGNOSIS SYMPTOMS Case report 

分 类 号：R735.2[医药卫生—肿瘤]