Liver abscess formation after local treatment of liver tumors

摘要: Our goal was to determine a subset of patients at high risk developing liver abscesses after local treatment tumors (LTLT) and establish guidelines for the conduct LTLT in safest conditions such patients. Five hundred sixty-one LTLT, 489 transhepatic arterial chemoembolizations (TAC, 10 hepatic embolizations, 62 percutaneous intratumor injections (PIT), were retrospectively reviewed parenchyma necrosis abscess formation. Four developed abscesses, three TAC one PIT. Despite broad-spectrum antibiotherapy, drainage, surgery, two died. A left hepatectomy required other cure. All four had carcinoid or neuroendocrine pancreatic tumor. Three out bilioenteric anastomoses, fourth recently undergone cholecystectomy papillotomy. Lipiodol/doxorubicin mixture without any particulate embolization injected who TAC. with bilio enteric anastomosis papillotomy and/or tumor should be performed strict precautions during procedure peri-procedural care.