간세포암의 치료로 경피적 에탄올 주입술 후 발생한 난치성 간농양 1예

Abstract

Percutaneous ethanol injection therapy (PEIT) is widely used as nonsurgical treatment for hepatocellular carcinoma (HCC) and it is known as a relatively safe procedure. We report a case of liver abscess after PEIT for HCC caused by chronic hepatitis C. The liver abscess was diagnosed by abdominal computed tomography (CT) after 6 days of treatment. Percutaneous abscess drainage with intvavenous antibiotics was done. The size of the abscess was decreased after treatment. But, the drainage catheter could not be removed due to continous bile drainage caused by communication between the abscess cavity and small bile canaliculi. Three months later, abdominal CT showed more progression of the HCC. So, we have been providing supportive care since then. (Korean J Med 75:S751-S755, 2008) Key Words: Percutaneous ethanol injection therapy; Liver abscess; Hepatocellular carcinoma

간세포암에 대해 PEIT를 비롯한 비수술적 치료가 널리 시행되고 있으나 PEIT후 치료부위 간농양의 예는 아직 국 내에 보고된 바 없다. 본 증례에서는 국소 재발한 간세포암 에 대해 PEIT 후 흔히 관찰되지 않던, 배액으로 해결되지 않고 작은 소담관과의 교통이 생긴 난치성 간농양을 경험하 였기에 문헌고찰과 함께 보고하는 바이다. 중심 단어: 경피적 에탄올 주입술; 간농양; 간세포암