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Abdominal Skin Rash After TACE Due to Non-Target Embolization of Hepatic Falciform Artery
Prashant Nagpal1, Mitesh Bhalala2, Aditi Vidholia3
1Department of Radiology, University of Iowa Hospitals and Clinics, Iowa City, IA; Department of Internal Medicine, Westchester Medical Center, New York Medical College, Valhalla, NY.
ACG Case Reports Journal
|May 5, 2016
Summary
A rare complication of transcatheter arterial chemoembolization (TACE) for liver cancer is non-target embolization of the hepatic falciform artery (HFA). This can cause a skin rash, requiring awareness from clinicians.
Area of Science:
- Interventional Radiology
- Hepatobiliary Oncology
- Dermatology
Background:
- Transcatheter arterial chemoembolization (TACE) is a standard treatment for hepatocellular carcinoma.
- This case highlights a rare complication following an otherwise successful TACE procedure.
Observation:
- A 54-year-old male developed a periumbilical maculopapular skin rash post-TACE.
- Imaging revealed non-target embolization of the hepatic falciform artery (HFA).
Findings:
- Non-target embolization of the HFA, though uncommon, can manifest as a cutaneous reaction.
- The patient experienced partial resolution with anti-inflammatory medication but persistent skin changes.
Implications:
- Clinicians and interventional radiologists must recognize this rare HFA complication.
- Increased vigilance is warranted in patients with potential HFA enlargement.
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