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Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
Published on: September 20, 2020
Embolisation for caecal bleeding in a child with typhlitis
Manou S de Lijster1, Anne M Smets, Henk van den Berg
1Department of Radiology, Academic Medical Centre, Meibergdreef 9, 1105AZ, Amsterdam, The Netherlands, m.s.delijster@amc.uva.nl.
Abstract:
A 16-year-old girl being treated for a relapse of promyelocytic leukaemia developed typhlitis of the caecum and ascending colon related to Klebsiella septicaemia during the neutropenic phase, 2 weeks after the start of induction treatment with chemotherapy. After 10 days of treatment with parenteral feeding and antibiotics, massive rectal blood loss occurred, causing haemodynamic instability. Contrast-enhanced abdominal CT showed contrast extravasation in the caecal lumen. This life-threatening situation prompted visceral angiography, which confirmed a contrast blush in the caecum. Subsequent embolisation resulted in haemodynamic stability.
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