Interventional Treatment for Giant Hepatic Hemangioma Accompanied by Arterio-portal Shunt with Ascites
A 73-year-old woman with massive ascites associated with a giant hepatic mass accompanied by arterio-portal (AP) shunt was admitted to our hospital. Based on contrast-enhanced computed tomography (CT) and angiography findings, hepatic hemangioma with AP shunt and ascites due to portal hypertension w...
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| Veröffentlicht in: | Internal Medicine 2018/10/01, Vol.57(19), pp.2847-2851 |
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| creator | Igarashi, Go Mikami, Kenichiro Sawada, Naoya Endo, Tetsu Sueyoshi, Norihiko Sato, Ken Tsushima, Fumiyasu Kakehata, Shinya Ono, Shuichi Aoki, Masahiko Kurose, Akira Iwamura, Hideki Fukuda, Shinsaku |
| description | A 73-year-old woman with massive ascites associated with a giant hepatic mass accompanied by arterio-portal (AP) shunt was admitted to our hospital. Based on contrast-enhanced computed tomography (CT) and angiography findings, hepatic hemangioma with AP shunt and ascites due to portal hypertension was diagnosed. Transcatheter arterial embolization (TAE) by N-butyl-2-cyanoacrylate (NBCA) was performed without complications. The patient's ascites disappeared, and her liver function test results improved after the treatment. The patient has maintained a steady state for two years. This case indicates that TAE with NBCA is a safe and effective treatment for hepatic hemangioma accompanied by AP shunt. |
| doi_str_mv | 10.2169/internalmedicine.0655-17 |
| format | Article |
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Based on contrast-enhanced computed tomography (CT) and angiography findings, hepatic hemangioma with AP shunt and ascites due to portal hypertension was diagnosed. Transcatheter arterial embolization (TAE) by N-butyl-2-cyanoacrylate (NBCA) was performed without complications. The patient's ascites disappeared, and her liver function test results improved after the treatment. The patient has maintained a steady state for two years. This case indicates that TAE with NBCA is a safe and effective treatment for hepatic hemangioma accompanied by AP shunt.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.0655-17</identifier><identifier>PMID: 29709944</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>Aged ; Angiography ; arterio-portal shunt ; Ascites ; Ascites - diagnosis ; Ascites - etiology ; Ascites - therapy ; Case Report ; Complications ; Computed tomography ; Contrast Media ; Embolization ; Embolization, Therapeutic ; Enbucrilate - therapeutic use ; Female ; Hemangioma ; Hemangioma - complications ; Hemangioma - diagnosis ; Hemangioma - therapy ; hepatic hemangioma ; Humans ; Hypertension, Portal - complications ; Hypertension, Portal - diagnosis ; Hypertension, Portal - therapy ; Internal medicine ; Liver ; Liver Neoplasms - complications ; Liver Neoplasms - diagnosis ; Liver Neoplasms - therapy ; N-butyl-2-cyanoacrylate ; Patients ; portal hypertension ; Tomography, X-Ray Computed ; transcatheter arterial embolization</subject><ispartof>Internal Medicine, 2018/10/01, Vol.57(19), pp.2847-2851</ispartof><rights>2018 by The Japanese Society of Internal Medicine</rights><rights>Copyright Japan Science and Technology Agency 2018</rights><rights>Copyright © 2018 by The Japanese Society of Internal Medicine 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c610t-d8d011b438e1be6960a72545d2cdf3c1a0e14c7c706957a56c3e99e737ac84723</citedby><cites>FETCH-LOGICAL-c610t-d8d011b438e1be6960a72545d2cdf3c1a0e14c7c706957a56c3e99e737ac84723</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207813/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207813/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,1877,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29709944$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Igarashi, Go</creatorcontrib><creatorcontrib>Mikami, Kenichiro</creatorcontrib><creatorcontrib>Sawada, Naoya</creatorcontrib><creatorcontrib>Endo, Tetsu</creatorcontrib><creatorcontrib>Sueyoshi, Norihiko</creatorcontrib><creatorcontrib>Sato, Ken</creatorcontrib><creatorcontrib>Tsushima, Fumiyasu</creatorcontrib><creatorcontrib>Kakehata, Shinya</creatorcontrib><creatorcontrib>Ono, Shuichi</creatorcontrib><creatorcontrib>Aoki, Masahiko</creatorcontrib><creatorcontrib>Kurose, Akira</creatorcontrib><creatorcontrib>Iwamura, Hideki</creatorcontrib><creatorcontrib>Fukuda, Shinsaku</creatorcontrib><title>Interventional Treatment for Giant Hepatic Hemangioma Accompanied by Arterio-portal Shunt with Ascites</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>A 73-year-old woman with massive ascites associated with a giant hepatic mass accompanied by arterio-portal (AP) shunt was admitted to our hospital. Based on contrast-enhanced computed tomography (CT) and angiography findings, hepatic hemangioma with AP shunt and ascites due to portal hypertension was diagnosed. Transcatheter arterial embolization (TAE) by N-butyl-2-cyanoacrylate (NBCA) was performed without complications. The patient's ascites disappeared, and her liver function test results improved after the treatment. The patient has maintained a steady state for two years. This case indicates that TAE with NBCA is a safe and effective treatment for hepatic hemangioma accompanied by AP shunt.</description><subject>Aged</subject><subject>Angiography</subject><subject>arterio-portal shunt</subject><subject>Ascites</subject><subject>Ascites - diagnosis</subject><subject>Ascites - etiology</subject><subject>Ascites - therapy</subject><subject>Case Report</subject><subject>Complications</subject><subject>Computed tomography</subject><subject>Contrast Media</subject><subject>Embolization</subject><subject>Embolization, Therapeutic</subject><subject>Enbucrilate - therapeutic use</subject><subject>Female</subject><subject>Hemangioma</subject><subject>Hemangioma - complications</subject><subject>Hemangioma - diagnosis</subject><subject>Hemangioma - therapy</subject><subject>hepatic hemangioma</subject><subject>Humans</subject><subject>Hypertension, Portal - complications</subject><subject>Hypertension, Portal - diagnosis</subject><subject>Hypertension, Portal - therapy</subject><subject>Internal medicine</subject><subject>Liver</subject><subject>Liver Neoplasms - complications</subject><subject>Liver Neoplasms - diagnosis</subject><subject>Liver Neoplasms - therapy</subject><subject>N-butyl-2-cyanoacrylate</subject><subject>Patients</subject><subject>portal hypertension</subject><subject>Tomography, X-Ray Computed</subject><subject>transcatheter arterial embolization</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNplkUtv1DAURi0EosPAX0CR2LBJ8SOJ4w3SqIK2UqUuKGvrjnMz41FiB9tp1X-PoxlGUDZ-yOce-_ojpGD0krNGfbEuYXAwjNhZYx1e0qauSyZfkRUTlSolF_VrsqKKtSXPwwV5F-OBUtFKxd-SC64kVaqqVqS_XVSP6JL1WVg8BIQ05m3R-1BcW8irG5wgWZPnEdzO-hGKjTF-nMBZ7Irtc7EJWWJ9OfmQsuTHfs5lTzbti000NmF8T970MET8cJrX5Of3bw9XN-Xd_fXt1eauNA2jqezajjK2rUSLbIuNaihIXld1x03XC8OAIquMNJI2qpZQN0agUiiFBNNWues1-Xr0TvM2f47JjQQY9BTsCOFZe7D63xNn93rnH3XDqWyZyILPJ0Hwv2aMSY82GhwGcOjnqDkVQrQ1Zyyjn16gBz8vqWSKV_mBlMlF2B4pE3yMAfvzYxjVS5j6ZZh6CVPn2jX5-Hcz58I_6WXg_ggcYoIdngEIOa4B_zfXUjO1jKcrzqTZQ9DoxG-AGL9a</recordid><startdate>20181001</startdate><enddate>20181001</enddate><creator>Igarashi, Go</creator><creator>Mikami, Kenichiro</creator><creator>Sawada, Naoya</creator><creator>Endo, Tetsu</creator><creator>Sueyoshi, Norihiko</creator><creator>Sato, Ken</creator><creator>Tsushima, Fumiyasu</creator><creator>Kakehata, Shinya</creator><creator>Ono, Shuichi</creator><creator>Aoki, Masahiko</creator><creator>Kurose, Akira</creator><creator>Iwamura, Hideki</creator><creator>Fukuda, Shinsaku</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Science and Technology Agency</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20181001</creationdate><title>Interventional Treatment for Giant Hepatic Hemangioma Accompanied by Arterio-portal Shunt with Ascites</title><author>Igarashi, Go ; Mikami, Kenichiro ; Sawada, Naoya ; Endo, Tetsu ; Sueyoshi, Norihiko ; Sato, Ken ; Tsushima, Fumiyasu ; Kakehata, Shinya ; Ono, Shuichi ; Aoki, Masahiko ; Kurose, Akira ; Iwamura, Hideki ; Fukuda, Shinsaku</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c610t-d8d011b438e1be6960a72545d2cdf3c1a0e14c7c706957a56c3e99e737ac84723</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aged</topic><topic>Angiography</topic><topic>arterio-portal shunt</topic><topic>Ascites</topic><topic>Ascites - diagnosis</topic><topic>Ascites - etiology</topic><topic>Ascites - therapy</topic><topic>Case Report</topic><topic>Complications</topic><topic>Computed tomography</topic><topic>Contrast Media</topic><topic>Embolization</topic><topic>Embolization, Therapeutic</topic><topic>Enbucrilate - therapeutic use</topic><topic>Female</topic><topic>Hemangioma</topic><topic>Hemangioma - complications</topic><topic>Hemangioma - diagnosis</topic><topic>Hemangioma - therapy</topic><topic>hepatic hemangioma</topic><topic>Humans</topic><topic>Hypertension, Portal - complications</topic><topic>Hypertension, Portal - diagnosis</topic><topic>Hypertension, Portal - therapy</topic><topic>Internal medicine</topic><topic>Liver</topic><topic>Liver Neoplasms - complications</topic><topic>Liver Neoplasms - diagnosis</topic><topic>Liver Neoplasms - therapy</topic><topic>N-butyl-2-cyanoacrylate</topic><topic>Patients</topic><topic>portal hypertension</topic><topic>Tomography, X-Ray Computed</topic><topic>transcatheter arterial embolization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Igarashi, Go</creatorcontrib><creatorcontrib>Mikami, Kenichiro</creatorcontrib><creatorcontrib>Sawada, Naoya</creatorcontrib><creatorcontrib>Endo, Tetsu</creatorcontrib><creatorcontrib>Sueyoshi, Norihiko</creatorcontrib><creatorcontrib>Sato, Ken</creatorcontrib><creatorcontrib>Tsushima, Fumiyasu</creatorcontrib><creatorcontrib>Kakehata, Shinya</creatorcontrib><creatorcontrib>Ono, Shuichi</creatorcontrib><creatorcontrib>Aoki, Masahiko</creatorcontrib><creatorcontrib>Kurose, Akira</creatorcontrib><creatorcontrib>Iwamura, Hideki</creatorcontrib><creatorcontrib>Fukuda, Shinsaku</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Igarashi, Go</au><au>Mikami, Kenichiro</au><au>Sawada, Naoya</au><au>Endo, Tetsu</au><au>Sueyoshi, Norihiko</au><au>Sato, Ken</au><au>Tsushima, Fumiyasu</au><au>Kakehata, Shinya</au><au>Ono, Shuichi</au><au>Aoki, Masahiko</au><au>Kurose, Akira</au><au>Iwamura, Hideki</au><au>Fukuda, Shinsaku</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Interventional Treatment for Giant Hepatic Hemangioma Accompanied by Arterio-portal Shunt with Ascites</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2018-10-01</date><risdate>2018</risdate><volume>57</volume><issue>19</issue><spage>2847</spage><epage>2851</epage><pages>2847-2851</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>A 73-year-old woman with massive ascites associated with a giant hepatic mass accompanied by arterio-portal (AP) shunt was admitted to our hospital. Based on contrast-enhanced computed tomography (CT) and angiography findings, hepatic hemangioma with AP shunt and ascites due to portal hypertension was diagnosed. Transcatheter arterial embolization (TAE) by N-butyl-2-cyanoacrylate (NBCA) was performed without complications. The patient's ascites disappeared, and her liver function test results improved after the treatment. The patient has maintained a steady state for two years. This case indicates that TAE with NBCA is a safe and effective treatment for hepatic hemangioma accompanied by AP shunt.</abstract><cop>Japan</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>29709944</pmid><doi>10.2169/internalmedicine.0655-17</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Angiography arterio-portal shunt Ascites Ascites - diagnosis Ascites - etiology Ascites - therapy Case Report Complications Computed tomography Contrast Media Embolization Embolization, Therapeutic Enbucrilate - therapeutic use Female Hemangioma Hemangioma - complications Hemangioma - diagnosis Hemangioma - therapy hepatic hemangioma Humans Hypertension, Portal - complications Hypertension, Portal - diagnosis Hypertension, Portal - therapy Internal medicine Liver Liver Neoplasms - complications Liver Neoplasms - diagnosis Liver Neoplasms - therapy N-butyl-2-cyanoacrylate Patients portal hypertension Tomography, X-Ray Computed transcatheter arterial embolization |
| title | Interventional Treatment for Giant Hepatic Hemangioma Accompanied by Arterio-portal Shunt with Ascites |
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