Abdominal Pain After Transarterial Chemoembolization

Question: A 63-year-old man, with a history of Child-Pugh A cirrhosis related to alcohol and previously treated hepatitis C, was admitted at a tertiary center for an elective transarterial chemoembolization (TACE). In the context of a significantly elevated alpha-fetoprotein of 1300 kU/L and having been lost to follow-up for several years, a computed tomographic (CT) and magnetic resonance imaging liver quad-phase scan confirmed the presence of 2 lesions in segments 5 and 7, both measuring approximately 18 mm, consistent with hepatocellular carcinoma (HCC).