HEPATIC-ARTERY LIGATION FOR LIVER METASTASES OF A PANCREATIC ACINAR CELL-CARCINOMA REVEALED BY A NODULAR PANNICULITIS

We report the case of a 67-year-old-man presenting with pancreatic aci nar cell carcinoma revealed by dermatological manifestations of cytost eatonecrosis and treated by hepatic artery ligation. The pancreatic et iology of these lesions was suspected due to hyperlipasemia, and was c onfirmed by abdominal computerized tomography showing a pancreatic tum or and multiple liver nodules, and by histological examination of one of these lesions. Because of symptomatic treatment failure, rapid impa irment of patient's general condition, and by analogy with the treatme nt of hepatic metastases of neuroendocrine tumors, hepatic artery liga tion,vas performed. Lipasemia decreased markedly and symptoms disappea red for 45 days. Hepatic artery obstruction may be used for emergency treatment of secreting liver metastases.