Abstract
Focal nodular hyperplasia (FNH) is a common benign hepatic tumor which is often treated non-operatively until it appears apparent symptoms such as pain and upper abdominal distension. We report here a case of trans-catheter arterial embolization (TAE) using pingyangmycin-lipiodol emulsion (PLE) for blocking a fatal bleeding originated from percutaneous biopsy as well as for FNH treatment. After embolization by means of the mixture of PLE and particles of gelfoam, the bleeding was stopped and the FNH was apparently shrinked 1 year later. TAE using PLE may be considered as a safe and effective method for the treatment of FNH.
Highlights
Focal nodular hyperplasia (FNH), a benign hepatic tumor, is often difficult to distinguish from other hepatic lesions such as hemangioma, focal hepatic steatosis, hepatoma, liver metastasis [1]
Huang et al demonstrated that transarterial embolization (TAE) using pingyangmycin-lipiodol emulsion (PLE) and polyvinyl alcohol is safe and effective for the treatment of FNH in 4 patients [3]
We report a case of FNH, which suffered from hypovolemic shock due to fatal bleeding after CT-guided percutaneous biopsy and underwent TAE for bleeding control as well as FNH treatment effectively
Summary
Focal nodular hyperplasia (FNH), a benign hepatic tumor, is often difficult to distinguish from other hepatic lesions such as hemangioma, focal hepatic steatosis, hepatoma, liver metastasis [1]. (2015) Transarterial Embolization Using Pingyangmycin-Lipiodol Emulsion (PLE) for Treatment of Focal Nodular Hyperplasia of the Liver and 1-Year Follow-Up: A Case Report and Literature Review. FNH is a hypervascular nodule, which is usually fed by a single end-artery with no intratumoral arteriovenous shunting or parasitic blood supply It may be a good choice for the patients who must be mandated intervention by means of arterial embolization. Huang et al demonstrated that transarterial embolization (TAE) using pingyangmycin-lipiodol emulsion (PLE) and polyvinyl alcohol is safe and effective for the treatment of FNH in 4 patients [3]. Transarterial embolization using PLE and polyvinyl alcohol for treatment of fatal hemorrhage of FNH after imaging-guided percutaneous biopsy is not reported. We report a case of FNH, which suffered from hypovolemic shock due to fatal bleeding after CT-guided percutaneous biopsy and underwent TAE for bleeding control as well as FNH treatment effectively
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