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HOME > J Liver Cancer > Volume 12(2); 2012 > Article
Case Report A Case of Necrotizing Pancreatitis after Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma
Mi Na Kim1, Jung Hyun Cho1, Young Eun Chon1, Beom Kyung Kim1, Seung Up Kim1,2, Jun Yong Park1,2, Do Young Kim1,2, Sang Hoon Ahn1,2, Kwang-Hyub Han1,2, Chae Yoon Chon1,2
Journal of Liver Cancer 2012;12(2):155-159
Published online: September 30, 2012
1Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
2Liver Cancer Special Clinic, Yonsei University College of Medicine, Seoul, Korea
Corresponding author:  Seung Up Kim,
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Acute pancreatitis is a rare but severe postprocedural complication after transcatheter arterial chemoembolization (TACE) of hepatocellular carcinoma with an incidence of 1.7-4%. The proposed mechanism of this complication is inadvertent embolization through collateral vessels or regurgitation of chemotherapeutic agents to the arteries of other organs. Here, we present a fatal necrotizing pancreatitis case which developed 10 days after TACE, caused by the regurgitation of the chemotherapeutic agents to the pancreas during the procedure. The patient recovered with conservative care at first, but after suffering from several times of recurrent pancreatitis, he died of peritoneal septic shock 5 months after the initial pancreatitis attack.

JLC : Journal of Liver Cancer