HCC chemoembolization: Still a challenge

Manenti, Antonio; Roncati, Luca; Simonini, Emilio; Farinetti, Alberto

doi:10.1016/j.clinre.2016.07.003

Cited by 1 publication

(2 citation statements)

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“…This is usually characterized by abdominal pain, nausea, fever, and elevated transaminases that occur 24-72 hours after the procedure [ 6 , 7 ]. However, more serious complications such as acute liver decompensation (encephalopathy, ascites) can occur [ 5 , 8 , 9 ]. PES has been defined as a clinical diagnosis by some, and thus they do not report specific liver function enzymes [ 5 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, more serious complications such as acute liver decompensation (encephalopathy, ascites) can occur [ 5 , 8 , 9 ]. PES has been defined as a clinical diagnosis by some, and thus they do not report specific liver function enzymes [ 5 , 8 ]. However, elevation of liver transaminases occurs in a majority of cases, and there are no universal lab criteria to define PES [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

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Post-Embolization Syndrome Complicated by Hypertensive Emergency and Severely Elevated Transaminases

Kashfi¹,

Murdakhayev²,

Rehmani³

et al. 2021

Cureus

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Transarterial chemoembolization (TACE) is a procedure reserved for the treatment of hepatocellular cancer that is unresectable through surgery. It combines both embolization and chemotherapy by injecting chemotherapy via a catheter directed at the tumor and then blocking the artery to prevent blood flow to the tumor. We present the case of a 69-year-old man who experienced post-embolization syndrome (PES) with a hypertensive emergency and elevated liver transaminases following his TACE procedure. Imaging combined with clinical assessment was necessary to determine whether the patient was experiencing a ruptured hepatic abscess or PES, as both are potential complications of TACE. The patient was ultimately managed with supportive care and discharged after several days.

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