Symptomatic polycystic liver disease treated with transcatheter hepatic arterial embolization and inferior vena cava stenting: a case report.

Abstract

Autosomal-dominant polycystic kidney disease is frequently complicated by polycystic liver disease. Some patients with polycystic liver disease have a full-stomach sensation and intractable ascites. We report a 56-year-old woman with polycystic liver disease waiting to receive a liver transplant, with a chief complaint of a full-stomach sensation and refractory ascites, wherein the transcatheter hepatic arterial embolization and inferior vena cava stenting were begun simultaneously, and the signs were favorably alleviated. It is important to recognize the risk of liver failure after the complete embolization of both the right and left hepatic arteries; however, performance of transcatheter hepatic arterial embolization and inferior vena cava stent placement also are indicated for patients awaiting a liver transplant for early alleviation of symptoms.

• Authors: Takeshi Fujita, Masahiro Tanabe, Koichi Uchiyama, Hideyasu Matsuyama, Naofumi Matsunaga
• Journal: Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation (Exp Clin Transplant) Vol. 12 Issue 4 Pg. 377-80 (Aug 2014) ISSN: 2146-8427 [Electronic] Turkey
• PMID: 24325362 (Publication Type: Case Reports, Journal Article)

Topics

• Ascites (diagnosis, etiology, surgery, therapy)
• Cysts (complications, diagnosis, physiopathology, surgery, therapy)
• Embolization, Therapeutic (methods)
• Endovascular Procedures (instrumentation)
• Female
• Hepatic Artery (diagnostic imaging, physiopathology)
• Humans
• Liver Diseases (complications, diagnosis, physiopathology, surgery, therapy)
• Liver Transplantation
• Middle Aged
• Stents
• Tomography, X-Ray Computed
• Treatment Outcome
• Vascular Patency
• Vena Cava, Inferior (diagnostic imaging, physiopathology)
• Waiting Lists