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Tuberc Respir Dis.  2011 Jul;71(1):50-54.

Pulmonary Lipiodol Embolism after Transcatheter Chemoembolization for Hepatocellular Carcinoma

Affiliations
  • 1Department of Internal Medicine, Chungbuk National University Hospital, Chungbuk University College of Medicine, Cheongju, Korea. drahnjy@chungbuk.ac.kr
  • 2Department of Radiology, Chungbuk National University Hospital, Chungbuk University College of Medicine, Cheongju, Korea.
  • 3Respiratory Center, Chungbuk National University Hospital, Chungbuk University College of Medicine, Cheongju, Korea.

Abstract

Pulmonary lipiodol embolism is a rare but very fatal complication of transcatheter arterial chemoembolization (TACE), Here we present the case of an unusual complication of TACE in a 67-year-old man who presented with dyspnea, hemoptysis, and a history of a third session of TACE for hepatocellular carcinoma (HCC) that had been performed 3 days prior to presenting. On the basis of chest X-ray and computed tomography (CT) scan findings, we diagnosed pulmonary lipiodol embolism. He was conservatively treated with oxygen and haemostatic agents. The patient recovered quickly without any significant sequela and was discharged.

Keyword

Carcinoma, Hepatocellular; transcatheter arterial chemoembolization; Pulmonary Embolism; lipiodol

MeSH Terms

Aged
Carcinoma, Hepatocellular
Dyspnea
Embolism
Ethiodized Oil
Hemoptysis
Humans
Oxygen
Pulmonary Embolism
Thorax
Ethiodized Oil
Oxygen
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