ABSTRACT
Postembolization syndrome (PES) is a common complication after embolic procedures,
and it is a frequent cause of extended inpatient hospital admissions. PES is a self-limited
constellation of symptoms consisting of fevers, unremitting nausea, general malaise,
loss of appetite, and variable abdominal pain following the procedure. Although a
definite cause is unknown, this syndrome is thought to be a result of therapeutic
cytotoxicity, tumor ischemia, and resulting intrahepatic and extrahepatic inflammation.
The authors report a case of PES precipitated by transcatheter intrarterial chemoembolization
of hepatic metastases.
KEYWORDS
Postembolization syndrome (PES) - chemoembolization - hepatocellular carcinoma (HCC)
- transcatheter arterial chemoembolization (TACE) - complications - embolization complications
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Sabeen DhandM.D.
Department of Radiology, Northwestern University
676 North St. Clair Street, Chicago, IL 60611
Email: sabeen.dhand@gmail.com