Abstract
BackgroundCholesterol crystal embolism (CCE) following transcatheter arterial chemoembolization (TACE) is rare.Case presentationA 71-year-old man underwent TACE for recurrence of hepatocellular carcinoma (HCC). On postoperative day (POD) 5, he developed abdominal pain and fever. Computed tomography revealed intraperitoneal free air. The patient was diagnosed with gastrointestinal perforation with peritonitis, for which partial intestinal resection and covering ileostomy were performed. Histological examination revealed perforation of the small intestine caused by CCE. The patient made a satisfactory recovery and was discharged on POD 30. The patient showed no recurrence of cholesterol crystal embolism or HCC for 2 years after surgery.ConclusionWe reported a successfully treated case of ischemic small bowel perforation due to cholesterol crystal embolism following transcatheter arterial chemoembolization for recurrent HCC.
Highlights
Cholesterol crystal embolism (CCE) following transcatheter arterial chemoembolization (TACE) is rare.Case presentation: A 71-year-old man underwent TACE for recurrence of hepatocellular carcinoma (HCC)
We reported a successfully treated case of ischemic small bowel perforation due to cholesterol crystal embolism following transcatheter arterial chemoembolization for recurrent HCC
Case presentation A 71-year-old man on hemodialysis for chronic renal failure due to IgA nephropathy developed recurrent hepatocellular carcinoma (HCC) in segment 5 (S5) and segment 8 (S8) 3 years after hepatic resection followed by TACE
Summary
CCE is a rare but serious complication with poor prognosis caused by catheter intervention in atherosclerosis patients.
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