Resolution of inferior vena cava syndrome after embolization of a hepatic adenoma

Autor: Meirowitz, Robert F., Tobin, Katherine D., Elias, E.George, Iseri, Oscar, Pais, Samuel O., Knodell, Robert G.
Zdroj: Gastroenterology; November 1990, Vol. 99 Issue: 5 p1502-1506, 5p
Abstrakt: A 77-year-old man presented with severe pruritis and massive lower body edema. Computerized axial tomography of the abdomen showed a large hepatic mass compressing the inferior vena cava, and a liver biopsy specimen showed hepatic adenoma. Embolization of vessels feeding the hepatic tumor resulted in complete resolution of pruritis and ascites, and clinical remission has persisted for 1 year following partial obliteration of tumor vasculature. Angiographic ablation of tumor blood supply represents a nonoperative means for inducing clinical remission in patients with symptomatic hepatic adenoma who are at high surgical risk.
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