# Necrotizing Pancreatitis After Bland Embolization of a Large Hepatic Hemangioma

## TL;DR

A rare case of necrotizing pancreatitis occurred after a liver embolization procedure for a large hepatic hemangioma.

## Contribution

This case highlights a rare complication of liver embolization, adding to the understanding of its potential risks.

## Key findings

- Necrotizing pancreatitis can occur after bland embolization of a hepatic hemangioma.
- The exact mechanism of pancreatitis after liver embolization remains uncertain.
- Possible contributing factors include ischemia, embolic material toxicity, and embosphere volume.

## Abstract

Liver embolization is a common procedure for management of liver lesions. Embolization can be performed using only an embolic material or along with chemotherapy agents. Infrequent complications seen postliver embolization include pulmonary thromboembolism, hepatic infarct, liver abscess, liver failure, ischemic biliary strictures, and less frequently pancreatic damage (incidence of 1.7%). We describe a case of necrotizing pancreatitis after bland embolization of a large hepatic hemangioma. The exact mechanisms of acute pancreatitis after liver embolization are uncertain, although direct ischemic mechanisms, toxic effects of antineoplastic agents, and volume of embospheres used are believed to play a role.