Hepatic Abscess Complicating Transarterial Chemoembolization in a Patient with Liver Metastases

ABSTRACT

Hepatic abscess following transarterial chemoembolization is an uncommon complication. The authors describe a case of liver abscess after transarterial chemoembolization for neuroendocrine liver metastases, including risk factors, prophylaxis, treatment, and outcomes.

KEYWORDS

Abscess - chemoembolization

REFERENCES

• 1 Lin G, Lunderquist A, Hägerstrand I, Boijsen E. Postmortem examination of the blood supply and vascular pattern of small liver metastases in man.  Surgery. 1984;  96 (3) 517-526
• 2 Brown D B, Geschwind J F, Soulen M C, Millward S F, Sacks D. Society of Interventional Radiology position statement on chemoembolization of hepatic malignancies.  J Vasc Interv Radiol. 2006;  17 (2 Pt 1) 217-223
• 3 Kim W, Clark T W, Baum R A, Soulen M C. Risk factors for liver abscess formation after hepatic chemoembolization.  J Vasc Interv Radiol. 2001;  12 (8) 965-968
• 4 Song S Y, Chung J W, Han J K et al.. Liver abscess after transcatheter oily chemoembolization for hepatic tumors: incidence, predisposing factors, and clinical outcome.  J Vasc Interv Radiol. 2001;  12 (3) 313-320
• 5 Huang S F, Ko C W, Chang C S, Chen G H. Liver abscess formation after transarterial chemoembolization for malignant hepatic tumor.  Hepatogastroenterology. 2003;  50 (52) 1115-1118
• 6 de Baère T, Roche A, Amenabar J M et al.. Liver abscess formation after local treatment of liver tumors.  Hepatology. 1996;  23 (6) 1436-1440
• 7 Reed R A, Teitelbaum G P, Daniels J R, Pentecost M J, Katz M D. Prevalence of infection following hepatic chemoembolization with cross-linked collagen with administration of prophylactic antibiotics.  J Vasc Interv Radiol. 1994;  5 (2) 367-371
• 8 Spies J B, Rosen R J, Lebowitz A S. Antibiotic prophylaxis in vascular and interventional radiology: a rational approach.  Radiology. 1988;  166 (2) 381-387
• 9 Makuuchi M, Sukigara M, Mori T et al.. Bile duct necrosis: complication of transcatheter hepatic arterial embolization.  Radiology. 1985;  156 (2) 331-334
• 10 Ryan J M, Ryan B M, Smith T P. Antibiotic prophylaxis in interventional radiology.  J Vasc Interv Radiol. 2004;  15 (6) 547-556
• 11 Brown D B, Cardella J F, Sacks D et al.. Quality improvement guidelines for transhepatic arterial chemoembolization, embolization, and chemotherapeutic infusion for hepatic malignancy.  J Vasc Interv Radiol. 2006;  17 (2 Pt 1) 225-232
• 12 Patel S, Tuite C M, Mondschein J I, Soulen M C. Effectiveness of an aggressive antibiotic regimen for chemoembolization in patients with previous biliary intervention.  J Vasc Interv Radiol. 2006;  17 (12) 1931-1934
• 13 Chen C, Chen P J, Yang P M et al.. Clinical and microbiological features of liver abscess after transarterial embolization for hepatocellular carcinoma.  Am J Gastroenterol. 1997;  92 (12) 2257-2259
• 14 Mezhir J J, Fong Y, Jacks L M et al.. Current management of pyogenic liver abscess: surgery is now second-line treatment.  J Am Coll Surg. 2010;  210 (6) 975-983