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Hepatectomy for Hepatocellular Carcinoma Complicated by Vasculitis Flare
Joint Authors
Saxena, Amit
Villanueva, Gerald
Sarpel, Umut
Krasnokutsky, Svetlana
Abdi, Zeinab
Rapkiewicz, Amy
Source
Issue
Vol. 2010, Issue 2010 (31 Dec. 2010), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-09-01
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
The hepatitis C virus is a major cause of hepatocellular carcinoma.
Extrahepatic manifestations of hepatitis C include mixed cryoglobulinemia which can result in ischemic damage to multiple organs.
The management of these sequelae in posthepatectomy patients is unclear.
Case Report.
A 49-year-old male with hepatitis C was found to have a 4 cm hepatocellular carcinoma on surveillance imaging.
He underwent portal vein embolization followed by hepatectomy.
His postoperative course was complicated by the development of splenic infarcts, small bowel ischemia, skin lesions, and liver damage.
Findings of elevated cryocrit and elevated rheumatoid factor suggested the diagnosis of cryoglobulin-related vasculitis.
The patient improved on supportive care.
Conclusion.
Cryoglobulinemia is associated with hepatitis C and may complicate the care of this patient population.
The treatment of cryoglobulinemia posthepatectomy patients is complicated by concerns over how medications may affect the regenerating liver.
Steroids should be used with caution in this setting.
Summary.
Brief report of hepatectomy complicated by vasculitis in the context of hepatocellular carcinoma secondary to hepatitis C addresses the management of mixed cryoglobulinemia in post-hepatectomy patients.
American Psychological Association (APA)
Abdi, Zeinab& Krasnokutsky, Svetlana& Rapkiewicz, Amy& Saxena, Amit& Villanueva, Gerald& Sarpel, Umut. 2010. Hepatectomy for Hepatocellular Carcinoma Complicated by Vasculitis Flare. HPB Surgery،Vol. 2010, no. 2010, pp.1-4.
https://search.emarefa.net/detail/BIM-502529
Modern Language Association (MLA)
Abdi, Zeinab…[et al.]. Hepatectomy for Hepatocellular Carcinoma Complicated by Vasculitis Flare. HPB Surgery No. 2010 (2010), pp.1-4.
https://search.emarefa.net/detail/BIM-502529
American Medical Association (AMA)
Abdi, Zeinab& Krasnokutsky, Svetlana& Rapkiewicz, Amy& Saxena, Amit& Villanueva, Gerald& Sarpel, Umut. Hepatectomy for Hepatocellular Carcinoma Complicated by Vasculitis Flare. HPB Surgery. 2010. Vol. 2010, no. 2010, pp.1-4.
https://search.emarefa.net/detail/BIM-502529
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-502529