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Title of Journal: J Gastrointest Surg

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Abbravation: Journal of Gastrointestinal Surgery

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Springer US

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DOI

10.1016/0927-5371(95)80045-y

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1873-4626

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Gangrenous Cholecystitis Related to Transcatheter

Authors: Dimitrios Karavias Helen Kourea Athanasia Sotiriadi Dimitrios Karnabatidis Dionissios Karavias
Publish Date: 2015/08/05
Volume: 19, Issue: 11, Pages: 2093-2095
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Abstract

A 69yearold male with a history of hepatitis Binduced cirrhosis underwent segmental liver resection for hepatocellular carcinoma At his 12month followup local recurrence in segment VII was diagnosed measuring 78 by 62 cm with irregular margins and the presence of a tumor thrombus in the portal vein After evaluation by the multidisciplinary liver team the patient underwent transcatheter arterial chemoembolization with drugeluting beads Fortyeight hours after his discharge the patient presented with gangrenous cholecystitis and he underwent an uneventful cholecystectomy Cholecystitis is a welldocumented complication of transcatheter arterial chemoembolization due to inadvertent reflux of the embolic material into the cystic artery However super selective embolization significantly reduces the risk of cholecystitis In most cases management is conservative and only severe cases require further intervention

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