Postoperative Massive Hepatic Infarction -Two Cases Report-

Norihiro Kohara, Toshiaki Shiogama, Masazumi Terada, Shigetoshi Matsuo, Teiji Matsumoto, Koichi Motoshima, Tsukasa Tsunoda, Ryoici Tsuchiya, Kensuke Yamamoto*

Second Department of Surgery, Nagasaki University School of Medicine and Shigaoka Hospital*

Two cases of hepatic infarction as a postoperative complication after hepato-biliary surgery are reported. Case 1: A 62-year-old man was admitted to our hospital with cholangiocarcinoma of the portal hepatis, for which left hepatic lobecotmy coupled with resection of the portal vein undertaken Postoperatively, however, he had a massive hepatic infarction (S₈ and consequently died. Autopsy revealed that ligation of the right anterior hepatic artery had led to an extensive infarction of the liver, although the portal vein was patent. Case 2: A 46-year-old man was admitted with a recurrence of gastric cancer. Pancreatoduodenectomy coupled with resection of the portal vein and the hepatic artery was performed. When a retrograde transhepatic biliary drainage tube was inserted into the liver for bile drainnage, an intrahepatic vessle was injured and subsequently hepatic infarction occurred in the peripheral area supplied but this damaged vessel.

Key words
hepatic infarction

Reprint requests
Norihiro Kohara The Second Department of Surgery, Nagasaki University School of Medicine
7-1 Sakamoto-machi, Nagasaki, 852 JAPAN

Accepted
June 13, 1990

To read the PDF file you will need Abobe Reader installed on your computer.