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Post-Embolization Syndrome Complicated by Hypertensive Emergency and Severely Elevated Transaminases
Simon Kashfi1, Elizabeth Murdakhayev1, Razia Rehmani2
1Internal Medicine, City University of New York (CUNY) School of Medicine, New York, USA.
Abstract:
Transarterial chemoembolization (TACE) is a procedure reserved for the treatment of hepatocellular cancer that is unresectable through surgery. It combines both embolization and chemotherapy by injecting chemotherapy via a catheter directed at the tumor and then blocking the artery to prevent blood flow to the tumor. We present the case of a 69-year-old man who experienced post-embolization syndrome (PES) with a hypertensive emergency and elevated liver transaminases following his TACE procedure. Imaging combined with clinical assessment was necessary to determine whether the patient was experiencing a ruptured hepatic abscess or PES, as both are potential complications of TACE. The patient was ultimately managed with supportive care and discharged after several days.
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