Online Journal
IF値: 1.878(2021年)→1.8(2022年)


Journal of Medical Ultrasonics

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1994 - Vol.21

Vol.21 No.12

Case Report(症例報告)

(0857 - 0861)


Case Report of Transarterial Embolization in Hepatocellular Carcinoma with Arterio-portal Shunt: The Usefulness of Doppler Ultrasonography

疋田 宇, 上田 和茂, 森永  理

Hiroshi HIKITA, Kazushige UEDA, Osamu MORINAGA


Department of Internal Medicine Aiseikai Yamashina Hospital

キーワード : Arterio-portal shunt, Color Doppler ultrasonography , Hepatocellular carcinoma, Transcatheter, Arterial embolization

A 72-year-old woman was admitted to this institution because of hepatocellular carcinoma (HCC) and hepatitis C virus antibody positive liver cirrhosis. Abdominal ultrasonography and CT revealed an HCC measuring 5 cm in diameter in segment 7. Angiography disclosed a hypervascular tumor tumor with an arterio-portal shunt (A-P shunt) that extended to the portal trunk. The A-P shunt disappeared and ascites diminished after transcatheter arterial embolization (TAE) using a steel coil. Color Doppler ultrasonography was useful in monitoring sequential changes in direction of portal blood flow before and after TAE.