Direct duodenal invasion of hepatocellular carcinoma: Intestinal hemorrhage treated by transcatheter arterial embolization
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...
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| Veröffentlicht in: | Clinical imaging 1998-05, Vol.22 (3), p.196-199 |
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| container_title | Clinical imaging |
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| creator | Yamada, Kei Tohyama, Hiroki Shizawa, Yoshihisa Kohno, Makoto Fukunishi, Yasuo Tomoe, Masai |
| description | 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. |
| doi_str_mv | 10.1016/S0899-7071(97)00125-3 |
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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.</description><identifier>ISSN: 0899-7071</identifier><identifier>EISSN: 1873-4499</identifier><identifier>DOI: 10.1016/S0899-7071(97)00125-3</identifier><identifier>PMID: 9559232</identifier><identifier>CODEN: CLIMEB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Angiography ; Biological and medical sciences ; Blood transfusions ; Carcinoma, Hepatocellular - complications ; Carcinoma, Hepatocellular - diagnostic imaging ; Carcinoma, Hepatocellular - pathology ; Duodenal Diseases - diagnostic imaging ; Duodenal Diseases - etiology ; Duodenal Diseases - pathology ; Duodenal neoplasm ; Embolization, Therapeutic ; Endoscopy, Digestive System ; Fatal Outcome ; Follow-Up Studies ; Gastroenterology. Liver. Pancreas. Abdomen ; Gastrointestinal Hemorrhage - etiology ; Gastrointestinal Hemorrhage - therapy ; Hepatocellular carcinoma ; Humans ; Liver cancer ; Liver cirrhosis ; Liver Neoplasms - complications ; Liver Neoplasms - diagnostic imaging ; Liver Neoplasms - pathology ; Liver, CT ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Male ; Medical imaging ; Medical sciences ; Middle Aged ; Neoplasm Invasiveness ; Patients ; Surgery ; TAE ; Tomography, X-Ray Computed ; Tumors ; Veins & arteries</subject><ispartof>Clinical imaging, 1998-05, Vol.22 (3), p.196-199</ispartof><rights>1998 Elsevier Science Inc.</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0899-7071(97)00125-3$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2195600$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9559232$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamada, Kei</creatorcontrib><creatorcontrib>Tohyama, Hiroki</creatorcontrib><creatorcontrib>Shizawa, Yoshihisa</creatorcontrib><creatorcontrib>Kohno, Makoto</creatorcontrib><creatorcontrib>Fukunishi, Yasuo</creatorcontrib><creatorcontrib>Tomoe, Masai</creatorcontrib><title>Direct duodenal invasion of hepatocellular carcinoma: Intestinal hemorrhage treated by transcatheter arterial embolization</title><title>Clinical imaging</title><addtitle>Clin Imaging</addtitle><description>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.</description><subject>Angiography</subject><subject>Biological and medical sciences</subject><subject>Blood transfusions</subject><subject>Carcinoma, Hepatocellular - complications</subject><subject>Carcinoma, Hepatocellular - diagnostic imaging</subject><subject>Carcinoma, Hepatocellular - pathology</subject><subject>Duodenal Diseases - diagnostic imaging</subject><subject>Duodenal Diseases - etiology</subject><subject>Duodenal Diseases - pathology</subject><subject>Duodenal neoplasm</subject><subject>Embolization, Therapeutic</subject><subject>Endoscopy, Digestive System</subject><subject>Fatal Outcome</subject><subject>Follow-Up Studies</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Gastrointestinal Hemorrhage - etiology</subject><subject>Gastrointestinal Hemorrhage - therapy</subject><subject>Hepatocellular carcinoma</subject><subject>Humans</subject><subject>Liver cancer</subject><subject>Liver cirrhosis</subject><subject>Liver Neoplasms - complications</subject><subject>Liver Neoplasms - diagnostic imaging</subject><subject>Liver Neoplasms - pathology</subject><subject>Liver, CT</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neoplasm Invasiveness</subject><subject>Patients</subject><subject>Surgery</subject><subject>TAE</subject><subject>Tomography, X-Ray Computed</subject><subject>Tumors</subject><subject>Veins & arteries</subject><issn>0899-7071</issn><issn>1873-4499</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU9v1DAQxS0EKtvCR6hkCYTgELDj2I65INTyp1IlDsDZmtgT1lUSL7ZTqf30eLerHrjYluY3M37vEXLO2XvOuPrwk_XGNJpp_tbod4zxVjbiCdnwXoum64x5SjaPyHNymvNNhZTp9Ak5MVKaVrQbcn8ZErpC_Ro9LjDRsNxCDnGhcaRb3EGJDqdpnSBRB8mFJc7wkV4tBXMJ-4YtzjGlLfxBWhJCQU-Hu_qEJTsoWyyYKKR6hgrjPMQp3EOpG16QZyNMGV8e7zPy--uXXxffm-sf364uPl832PGuNOi59mwwY-uVlp1sUXDg3g28F3yEQSgllNEaBSghOyZGZnqjB8aZVp3oxRl58zB3l-LftX7bziHvRcGCcc1Wm54L1asKvvoPvIlrqhqz5a1STEnVy0qdH6l1mNHbXQozpDt7tLTWXx_rUA2YxmqEC_kRa7mRirGKfXrAsEq_DZhsdgEXh_4QiPUxWM7sPmp7iNruc7RG20PUVoh_IyubVw</recordid><startdate>19980501</startdate><enddate>19980501</enddate><creator>Yamada, Kei</creator><creator>Tohyama, Hiroki</creator><creator>Shizawa, Yoshihisa</creator><creator>Kohno, Makoto</creator><creator>Fukunishi, Yasuo</creator><creator>Tomoe, Masai</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>19980501</creationdate><title>Direct duodenal invasion of hepatocellular carcinoma: Intestinal hemorrhage treated by transcatheter arterial embolization</title><author>Yamada, Kei ; Tohyama, Hiroki ; Shizawa, Yoshihisa ; Kohno, Makoto ; Fukunishi, Yasuo ; Tomoe, Masai</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-e414t-ed17d0b9f2d675452e31a1dcb1831fab36636977e3a635403f09897b010764383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Angiography</topic><topic>Biological and medical sciences</topic><topic>Blood transfusions</topic><topic>Carcinoma, Hepatocellular - complications</topic><topic>Carcinoma, Hepatocellular - diagnostic imaging</topic><topic>Carcinoma, Hepatocellular - pathology</topic><topic>Duodenal Diseases - diagnostic imaging</topic><topic>Duodenal Diseases - etiology</topic><topic>Duodenal Diseases - pathology</topic><topic>Duodenal neoplasm</topic><topic>Embolization, Therapeutic</topic><topic>Endoscopy, Digestive System</topic><topic>Fatal Outcome</topic><topic>Follow-Up Studies</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Gastrointestinal Hemorrhage - etiology</topic><topic>Gastrointestinal Hemorrhage - therapy</topic><topic>Hepatocellular carcinoma</topic><topic>Humans</topic><topic>Liver cancer</topic><topic>Liver cirrhosis</topic><topic>Liver Neoplasms - complications</topic><topic>Liver Neoplasms - diagnostic imaging</topic><topic>Liver Neoplasms - pathology</topic><topic>Liver, CT</topic><topic>Liver. Biliary tract. Portal circulation. Exocrine pancreas</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neoplasm Invasiveness</topic><topic>Patients</topic><topic>Surgery</topic><topic>TAE</topic><topic>Tomography, X-Ray Computed</topic><topic>Tumors</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamada, Kei</creatorcontrib><creatorcontrib>Tohyama, Hiroki</creatorcontrib><creatorcontrib>Shizawa, Yoshihisa</creatorcontrib><creatorcontrib>Kohno, Makoto</creatorcontrib><creatorcontrib>Fukunishi, Yasuo</creatorcontrib><creatorcontrib>Tomoe, Masai</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yamada, Kei</au><au>Tohyama, Hiroki</au><au>Shizawa, Yoshihisa</au><au>Kohno, Makoto</au><au>Fukunishi, Yasuo</au><au>Tomoe, Masai</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Direct duodenal invasion of hepatocellular carcinoma: Intestinal hemorrhage treated by transcatheter arterial embolization</atitle><jtitle>Clinical imaging</jtitle><addtitle>Clin Imaging</addtitle><date>1998-05-01</date><risdate>1998</risdate><volume>22</volume><issue>3</issue><spage>196</spage><epage>199</epage><pages>196-199</pages><issn>0899-7071</issn><eissn>1873-4499</eissn><coden>CLIMEB</coden><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.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>9559232</pmid><doi>10.1016/S0899-7071(97)00125-3</doi><tpages>4</tpages></addata></record> |
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| subjects | Angiography Biological and medical sciences Blood transfusions Carcinoma, Hepatocellular - complications Carcinoma, Hepatocellular - diagnostic imaging Carcinoma, Hepatocellular - pathology Duodenal Diseases - diagnostic imaging Duodenal Diseases - etiology Duodenal Diseases - pathology Duodenal neoplasm Embolization, Therapeutic Endoscopy, Digestive System Fatal Outcome Follow-Up Studies Gastroenterology. Liver. Pancreas. Abdomen Gastrointestinal Hemorrhage - etiology Gastrointestinal Hemorrhage - therapy Hepatocellular carcinoma Humans Liver cancer Liver cirrhosis Liver Neoplasms - complications Liver Neoplasms - diagnostic imaging Liver Neoplasms - pathology Liver, CT Liver. Biliary tract. Portal circulation. Exocrine pancreas Male Medical imaging Medical sciences Middle Aged Neoplasm Invasiveness Patients Surgery TAE Tomography, X-Ray Computed Tumors Veins & arteries |
| title | Direct duodenal invasion of hepatocellular carcinoma: Intestinal hemorrhage treated by transcatheter arterial embolization |
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