Chemical cholecystitis associated with hepatic arterial chemotherapy delivered by a permanently implanted pump.

Abstract:

:The introduction of chemotherapeutic agents directly into the proper hepatic artery via an indwelling catheter results in perfusion of the gallbladder, because the cystic artery is usually a branch of the right hepatic artery. Five gallbladders, removed two to 16 months after insertion of permanently implanted Infusaid model 400 pumps, were examined. All of the gallbladders had significant arteritis, with narrowing or occlusion of lumina or necrosis of vessel walls. Fibrosis of the gallbladder wall was also a constant finding. Nuclear atypia of mucosal epithelium and connective tissue was common. Varying degrees of acute and chronic inflammation were present. These abnormalities may have a radiomimetic and direct irritant pathogenesis.

journal_name

Hum Pathol

journal_title

Human pathology

authors

Marymont JV,Dakhil SR,Travers H,Housholder DF

doi

10.1016/s0046-8177(85)80275-6

subject

Has Abstract

pub_date

1985-10-01 00:00:00

pages

986-90

issue

10

eissn

0046-8177

issn

1532-8392

pii

S0046-8177(85)80275-6

journal_volume

16

pub_type

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