Diagnosis and management of radiation cholecystitis as a complication of Y90 radioembolization for hepatocellular carcinoma

Radiol Case Rep. 2024 May 23;19(8):3363-3366. doi: 10.1016/j.radcr.2024.04.097. eCollection 2024 Aug.

Abstract

Radiation induced cholecystitis is a known but rare complication of Yttrium90 (Y90) radioembolization of hepatic tumors due to nontarget embolization. Many documented cases of radiation induced cholecystitis have been treated with cholecystectomy, which is significant given the typical patient population undergoing radioembolization tends to be of higher surgical risk. Here, we present a case of a 68 year old male who developed radiation induced cholecystitis status post hepatic radioembolization that resolved with conservative management alone. This case highlights that radiation induced cholecystitis may be successfully and safely treated conservatively.

Keywords: Hepatocellular carcinoma; Interventional oncology; Radiation cholecystitis; Radioembolization; Y90.

Publication types

  • Case Reports