[Application of metallic stents for both inferior vena cava and biliary obstruction by lymph node involvement in a patient with recurrent hepatocellular carcinoma].

Abstract

The authors experienced a case with obstruction of the inferior vena cava (IVC) and the common bile duct due to a recurrent hepatocellular carcinoma. In order to improve severe edema of the lower extremities and obstructive jaundice, IVC metallic stent as well as biliary stent were applied. A Luminexx stent of 8 cm in length was placed in the bile duct via subcutaneous route after biliary drainage. A spiral zigzag stent of 8 cm in length was also inserted into the IVC through the femoral vein following balloon dilatation of the obstructed portion. Subsequently, jaundice and edema were dramatically improved in a short period of time, which resulted in patient discharge from the hospital. Although the patient died of the cancer in 2 months, the quality of life was well maintained until death.

• Authors: Takeshi Tono, Masaki Matsushita, Munehiro Maeda, Masahiro Murakami, Yoshiaki Nakano, Hirotoshi Takemoto, Mitsunobu Imazato, Tadashi Asaoka, Hiromitsu Hoshino, Toshiyuki Kanoh, Yutaka Kimura, Takashi Iwazawa, Tadashi Ohnishi, Hiroshi Yano, Jun Okamura, Takushi Monden
• Journal: Gan to kagaku ryoho. Cancer & chemotherapy (Gan To Kagaku Ryoho) Vol. 31 Issue 11 Pg. 1943-5 (Oct 2004) ISSN: 0385-0684 [Print] Japan
• PMID: 15553767 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Adult
• Carcinoma, Hepatocellular (complications)
• Catheterization
• Cholestasis (therapy)
• Common Bile Duct
• Humans
• Liver Neoplasms (complications)
• Male
• Neoplasm Recurrence, Local
• Quality of Life
• Stents
• Vascular Diseases (therapy)
• Vena Cava, Inferior