An autopsy case of hepatocellular carcinoma, which developed a fatal massive hemolysis as a complication of Clostridium perfringens infection after transarterial chemoembolization
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- Kashimura Shin
- Department of Gastroenterology, Yokohama Municipal Citizen's Hospital
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- Fujita Yuriko
- Cancer Detection Center, Yokohama Municipal Citizen's Hospital
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- Imamura Satoshi
- Department of Gastroenterology, Yokohama Municipal Citizen's Hospital
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- Shimizu Tomoki
- Department of Gastroenterology, Yokohama Municipal Citizen's Hospital
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- Imai Jin
- Department of Gastroenterology, Yokohama Municipal Citizen's Hospital
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- Tsunoda Yuya
- Department of Gastroenterology, Yokohama Municipal Citizen's Hospital
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- Ito Tsuyoshi
- Department of Gastroenterology, Yokohama Municipal Citizen's Hospital
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- Nagakubo Shuichi
- Department of Gastroenterology, Yokohama Municipal Citizen's Hospital
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- Morohoshi Yuichi
- Department of Gastroenterology, Yokohama Municipal Citizen's Hospital
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- Mizukami Takeshi
- Department of Gastroenterology, Yokohama Municipal Citizen's Hospital
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- Komatsu Hirokazu
- Department of Gastroenterology, Yokohama Municipal Citizen's Hospital
Bibliographic Information
- Other Title
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- 肝動脈化学塞栓療法後にClostridium perfringensによる敗血症から急性溶血を合併して突然死した肝細胞癌の1剖検例
- 症例報告 肝動脈化学塞栓療法後にClostridium perfringensによる敗血症から急性溶血を合併して突然死した肝細胞癌の1剖検例
- ショウレイ ホウコク キモ ドウミャク カガク ソクセン リョウホウ ゴ ニ Clostridium perfringens ニ ヨル ハイケツショウ カラ キュウセイ ヨウ チ オ ガッペイ シテ トツゼンシ シタ キモ サイボウガン ノ 1 ボウケンレイ
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Abstract
A 74-year-old woman was diagnosed as HCV cirrhosis and diabetes mellitus in 2003. She received transcatheter arterial chemoembolization (TACE) for hepatocellular carcinoma (HCC) 4 times from 2006. Recurrence of HCC was suspected from a subsequent abdominal CT scan. HCC was diagnosed from angiography, and TACE was performed. After TACE, she experienced frequent vomiting and epigastric pain. From the fourth day after TACE, she showed a high fever and was treated with symptomatic therapy. At the 6th night after TACE, she experienced cardiopulmonary arrest. Cardiopulmonary resuscitation was performed immediately, but it was unsuccessful. Laboratory data for cardiopulmonary arrest showed severe anemia and jaundice.<br> Autopsy was performed. The aorta was reddish. Pathological findings showed growth of gram-positive bacilli in each organ of the body. Clostridium perfringens (C. perfringens) was detected in a blood culture taken at post-TACE day 5. The cause of her death was considered to be C. perfringens septicemia and massive hemolysis. There are few case reports of C. perfringens sepsis complicated with massive hemolysis after TACE. This report is added for consideration.<br>
Journal
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- Kanzo
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Kanzo 53 (3), 175-182, 2012
The Japan Society of Hepatology
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Keywords
Details 詳細情報について
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- CRID
- 1390282679771689216
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- NII Article ID
- 130002098090
- 10030547355
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- NII Book ID
- AN00047770
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- ISSN
- 18813593
- 04514203
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- NDL BIB ID
- 023523115
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed