Imaging of hepato-pancreato-biliary emergencies in patients with cancer

Copyright © 2023 Société française de radiologie. Published by Elsevier Masson SAS. All rights reserved..

Hepato-pancreato-biliary (HPB) emergencies in patients with cancer encompass an extensive array of various conditions, including primary malignancies that require prompt treatment, associated severe complications, and life-threatening consequences arising from treatment. In patients with cancer, the liver can be affected by chemotherapy-induced hepatotoxicity, veno-occlusive disease, Budd-Chiari syndrome, liver hemorrhage, and other complications arising from cancer therapy with all these complications requiring timely diagnosis and prompt treament. Cholecystitis induced by systemic anticancer therapies can result in severe conquences if not promptly identified and treated. The application of immunotherapy in cancer therapy is associated with cholangitis. Hemobilia, often caused by medical interventions, may require arterial embolization in patients with severe bleeding and hemodynamic instability. Malignant biliary obstruction in patients with biliary cancers may necessitate palliative strategies such as biliary stenting. In pancreatic cancer, patients often miss surgical treatment due to advanced disease stages or distant metastases, leading to potential emergencies at different treatment phases. This comprehensive review underscores the complexities of diagnostic and treatment roles of medical imaging in managing HPB emergencies in patients with cancer. It illustrates the crucial role of imaging techniques, including magnetic resonance imaging, computed tomography and ultrasound, in diagnosing and managing these conditions for timely intervention. It provides essential insights into the critical nature of early diagnosis and intervention in cancer-related HPB emergencies, ultimately impacting patient outcomes and survival rates.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:105

Enthalten in:

Diagnostic and interventional imaging - 105(2024), 2 vom: 01. Feb., Seite 47-56

Sprache:

Englisch

Beteiligte Personen:

Jajodia, Ankush [VerfasserIn]
Soyer, Philippe [VerfasserIn]
Barat, Maxime [VerfasserIn]
Patlas, Michael N [VerfasserIn]

Links:

Volltext

Themen:

Biliary tract neoplasms
Chemical and drug induced liver injury
Emergencies
Hemobilia
Journal Article
Liver neoplasm
Review

Anmerkungen:

Date Completed 05.02.2024

Date Revised 05.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.diii.2023.11.002

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM365315532