Acute obstructive cholangitis after transarterial chemoembolization: the effect of percutaneous transhepatic removal of tumor fragment.
Acute obstructive cholangitis due to the migration of necrotized tumor fragment is a rare complication occurring after a transarterial chemoembolization. The percutaneous tumor removal procedure following percutaneous transhepatic biliary drainage is an appropriate treatment over endoscopic removal for the relief of acute cholangitis in this case. Following this serial management, no invasive hepatocellular carcinoma of the bile duct recurred after two years of follow-up.
Choi
Kyu-Ho
KH
Department of Radiology, Eulji Medical Center, Eulji University College of Medicine, Seoul 139-711, Korea.
Cho
Young Kwon
YK
An
Jin Kyung
JK
Woo
Jeong-Joo
JJ
Kim
Hyun Sook
HS
Choi
Yun-Sun
YS
D000208:Acute Disease; D001650:Bile Duct Neoplasms / Q000473:pathology / Q000628:therapy; D001653:Bile Ducts, Intrahepatic; D006528:Carcinoma, Hepatocellular / Q000473:pathology / Q000628:therapy; D002404:Catheterization; D016461:Chemoembolization, Therapeutic / Q000009:adverse effects* / Q000379:methods; D002758:Cholangiography; D002761:Cholangitis / Q000209:etiology* / Q000628:therapy; D004322:Drainage; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology* / Q000628:therapy; D008113:Liver Neoplasms / Q000473:pathology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D018365:Neoplasm, Residual