Acute Obstructive Cholangitis after Transarterial Chemoembolization: the Effect of Percutaneous Transhepatic Removal of Tumor Fragment

• Published in: Korean journal of radiology Vol. 10; no. 2; pp. 197 - 201
• Main Authors: Choi, Kyu-Ho, Cho, Young Kwon, An, Jin Kyung, Woo, Jeong-Joo, Kim, Hyun Sook, Choi, Yun-Sun
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Society of Radiology 01.03.2009; 대한영상의학회
• Subjects: Abdomen; Acute Disease; Bile Duct Neoplasms - pathology; Bile Duct Neoplasms - therapy; Bile ducts; Bile Ducts, Intrahepatic; Carcinoma, Hepatocellular - pathology; Carcinoma, Hepatocellular - therapy; Case Report; Catheterization; Catheters; Chemoembolization, Therapeutic - adverse effects; Chemoembolization, Therapeutic - methods; Cholangiography; Cholangitis; Cholangitis - etiology; Cholangitis - therapy; Drainage; Humans; Jaundice, Obstructive - etiology; Jaundice, Obstructive - therapy; Laboratories; Liver cancer; Liver Neoplasms - pathology; Liver Neoplasms - therapy; Male; Medical imaging; Middle Aged; Neoplasm Invasiveness; Neoplasm, Residual; Pain; Patients; Phosphatase; Veins & arteries; 방사선과학; Liver neoplasms, percutaneous transhepatic biliary drainage; Liver neoplasms, chemotherapeutic; Liver neoplasms, therapy
• ISSN: 1229-6929; 2005-8330; 2005-8330
• DOI: 10.3348/kjr.2009.10.2.197

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.