초록 열기/닫기 버튼
간동맥화학색전술 후 올 수 있는 폐손상은 대부분 색전물질로 사용되는 리피오돌에 의한 폐색전증이며, 급성 호흡부전증까지도 초래할 수 있다. 흉막합병증으로 간기관지루와 동반된 흉막삼출, 담즙성흉막염 등이 보고된 바 있으나 간흉강루로 인한 농흉이 발생한 경우에 대한 보고는 없다. 저자들은 간농양에 대한 경피적 배액도중에 원발설 간암으로 진단된 환자에서 간동맥화학색전술 후 간흉강루로 인한 농흉 및 치료로 흉관배액술이 필요하였던 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Pleural complication is extremely rare among the complications of lung following transcatheter arterial chemoembolization (TACE) for hepatocellular carcinoma. We report a case of hepatopleural fistula complicated by TACE. A 50-year-old male was admitted to the hospital because of aggravation of cough and chest pain. Fifty five days before admission, a liver abscess had developed and treated by percutaneous drainage. A hepatocellular carcinoma had been diagnosed as a cause of liver abscess. Forty five days before admission, TACE had been performed for the hepatocellular carcinoma. Thirty days after TACE, dry cough and right pleuritic chest pain developed. After admission, serial CT scans of thorax and abdomen showed the pleural effusion containing the lipiodol from the liver through hepatopleural fistula. Chest tube insertion with a urokinase instillation was performed for the treatment of empyema caused by hepatopleural fistula.(Korean J Med 62:278-283, 2002)
키워드열기/닫기 버튼
Liver abscess, Carcinoma, Hepatocellular, Chemoembolization, Hepatopleural fistula
