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http://dx.doi.org/10.3904/kjm.2012.83.6.764

A Case of Emphysematous Cholecystitis and Pneumobilia after Transarterial Chemoembolization for Hepatocellular Carcinoma  

Choi, Gwang Hyeon (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine)
Yoon, Da-Lim (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine)
Lee, Jae Kwang (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine)
Lee, Seung-Hoon (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine)
Jin, Young-Joo (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine)
Park, Do Hyun (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine)
Shim, Ju Hyun (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine)
Publication Information
The Korean Journal of Medicine / v.83, no.6, 2012 , pp. 764-770 More about this Journal
Abstract
Transarterial chemoembolization (TACE) is reportedly a useful palliative treatment in patients with unresectable or recurred hepatocellular carcinoma. Post-TACE complications are common; however, acute cholecystitis after TACE is rare. We herein report a case of a 73-year-old woman who presented with emphysematous cholecystitis and pneumobilia following TACE. Computed tomography performed for evaluation of her tumor status before TACE incidentally showed gallbladder and common bile duct stones. After TACE, she complained of severe epigastric pain with a positive Murphy's sign. Computed tomography showed emphysematous cholecystitis and pneumobilia. She was successfully treated with emergent biliary stone removal by endoscopic retrograde cholangiopancreatography.
Keywords
Hepatocellular Carcinoma; Chemoembolization, Therapeutic; Emphysematous Cholecystitis;
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