RADIOEMBOLIZATION INDUCED LIVER DISEASE! • Aaron Shiloh, MD • Section Chief, IR • Diagnostic Imaging, Inc. • Philadelphia
Jan 11, 2017
RADIOEMBOLIZATION INDUCED LIVER DISEASE!
• Aaron Shiloh, MD• Section Chief, IR
• Diagnostic Imaging, Inc.• Philadelphia
73 YO S/P PRIOR LEFT HEPATECTOMY WITH MULTIPLE RIGHT HEPATIC HCC
• ECOG O, Childs Pugh A• Left Hepatectomy 2007• T Bili 0.5, Alk Phos 81, AST 56, ALT 42• Non alcoholic• No prior chemotherapy
Two months later…
• Pt presents with ascites, jaundice, fatigue• MRI performed • Labs obtained
REILD
• Presents as jaundice and ascites 1-2 months post RE in the absence of tumor progression or bile duct occlusion
• Cirrhosis and exposure to prior chemotherapy have been shown to be predictors of REILD
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, D'Avola D, Herrero JI, Quiroga J, Prieto J, Sangro B.
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