In Reply to: Case 497_08 -- Embolization of bleeding hepatic adenoma posted by Editor on April 18, 1997 at 11:16:46:
Not a lot of literature on topic, little in English (though I read
the translated abstract). Little long term follow up.
Stands to reason that this'd work--I'd have
done the same thing in the same way with one potential addition
(depending on the emergent/urgent condition of the patient).
If the lesion was readily visible by sonography, I might have
considered US guided transjugular liver biopsy. I've biopsied a handful
of focal liver lesions in this way, even used transcaval biopsy in a
patient with occluded hepatic veins and hepatoma.
Any cross sectional follow up on this lesion?
Ziv Haskal
***
Medline search for 'embolization' and 'hepatic adenoma':
Derhy S. Soyer P. Roche A. Lapeyre F. Kraiem C. Ajavon Y.
Cauquil P. Unresectable hepatic adenomas. Management by selective
hepatic artery embolization. Gastroenterologie Clinique et Biologique.
15(5):424-7, 1991.
Leborgne J. Lehur PA. Horeau JM. Dupas B. Bourcheix LM. Petiot
JM. Cloarec D. Classe JM. Therapeutic problems caused by rupture of
large hepatic adenoma with central location. Apropos of 3 cases.
[Review][32 refs] [French] Chirurgie.116(4-5):454-60, 1990.
Meirowitz RF. Tobin KD. Elias EG. Iseri O. Pais SO. Knodell RG.
Resolution of inferior vena cava syndrome after embolization of a
hepatic adenoma. Gastroenterology. 99(5):1502-6, 1990.
Akovbiantz A. Ackermann D. Buhler H. Schmid M. Management of liver
cell adenoma and focal nodular hyperplasia]. [German] Helvetica
Chirurgica Acta. 47(5):607-9, 1980.