Chemoembolization of a hepatocellular carcinoma supplied by a caudate artery forming a common trunk with the supraduodenal artery: A case report

Taishi Amano, MD; Kensaku Mori, MD; Syunsuke Kikuchi, MD; Masafumi Sakai, MD; Sodai Hoshiai, MD; Midori Enokido, MD; Ken Koyama, MD; Manabu Minami, MD

Radiology Case Reports (Jul 2020)

Chemoembolization of a hepatocellular carcinoma supplied by a caudate artery forming a common trunk with the supraduodenal artery: A case report

Taishi Amano, MD,
Kensaku Mori, MD,
Syunsuke Kikuchi, MD,
Masafumi Sakai, MD,
Sodai Hoshiai, MD,
Midori Enokido, MD,
Ken Koyama, MD,
Manabu Minami, MD

Affiliations

Taishi Amano, MD: Department of Diagnostic and Interventional Radiology, University of Tsukuba Hospital, 2-1-1 Amakubo, Tsukuba, Ibaraki 305-8576, Japan; Corresponding author.
Kensaku Mori, MD: Department of Diagnostic and Interventional Radiology, University of Tsukuba Hospital, 2-1-1 Amakubo, Tsukuba, Ibaraki 305-8576, Japan
Syunsuke Kikuchi, MD: Department of Diagnostic and Interventional Radiology, University of Tsukuba Hospital, 2-1-1 Amakubo, Tsukuba, Ibaraki 305-8576, Japan
Masafumi Sakai, MD: Department of Diagnostic and Interventional Radiology, University of Tsukuba Hospital, 2-1-1 Amakubo, Tsukuba, Ibaraki 305-8576, Japan
Sodai Hoshiai, MD: Department of Diagnostic and Interventional Radiology, University of Tsukuba Hospital, 2-1-1 Amakubo, Tsukuba, Ibaraki 305-8576, Japan
Midori Enokido, MD: Department of Diagnostic and Interventional Radiology, Ibaraki Prefectural Central Hospital, Ibaraki Cancer Center, Kasama, Ibaraki, Japan
Ken Koyama, MD: Department of Diagnostic and Interventional Radiology, Ibaraki Prefectural Central Hospital, Ibaraki Cancer Center, Kasama, Ibaraki, Japan
Manabu Minami, MD: Department of Diagnostic and Interventional Radiology, University of Tsukuba Hospital, 2-1-1 Amakubo, Tsukuba, Ibaraki 305-8576, Japan

Journal volume & issue: Vol. 15, no. 7
pp. 891 – 894

Abstract

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The supraduodenal artery might arise from the hepatic, gastroduodenal, or right gastric arteries, but only a few studies have addressed the branching pattern of this artery. We herein describe a case of an 80-year-old man with hepatocellular carcinoma located in segment I. Selective arteriography and CT angiography showed that the supraduodenal artery formed a common trunk with the caudate artery to feed the tumor. The patient was successfully treated with superselective transarterial chemoembolization without gastrointestinal complications. To avoid nontargeting chemoembolization of the duodenum, interventional radiologists should be aware of this branching pattern. In suspected cases, selective CT arteriography plays a crucial role.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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