Intrahepatic biliary injury caused by transcatheter arterial chemoembolization in patients of hepatic malignancies
10.3760/cma.j.issn.1007-631X.2010.07.019
- VernacularTitle:经导管肝动脉化疗栓塞术后并发肝内胆管损伤
- Author:
Jun LIANG
;
Yefa YANG
;
Naijian GE
;
Shuqun SHEN
;
Lu WU
;
Mengchao WU
- Publication Type:Journal Article
- Keywords:
Bile duct diseases;
Embolization,therapeutic;
Postoperative complications;
Liver neoplasms
- From:
Chinese Journal of General Surgery
2010;25(7):566-568
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate CT findings, diagnosis and management of intrahepatic biliary injuries after transcatheter arterial chemoembolization (TACE) for liver malignancies. Methods A total of 1302 patients with hepatic malignant tumors received TACE between Sep 2007 and Mar 2009. None of these patients were found to have any radiographic evidence of biliary abnormalities before TACE. A retrospective review of imaging studies and clinical outcomes was carried out to evaluate the changes of intrahepatic biliary injuries after TACE. Results Six patients developed intrahepatic biliary injuries during 1 and 3-month follow-up. Two cases with jaundice and high fever, underwent percutaneous transhepatic cholangiography and drainage and eventually recovered. The other 4 patients were asymptomatic with only radiographic changes and were managed observationally. Conclusions Intrahepatic biliary injury is a rare complicating TACE procedures. It will be identified by clinical outcomes and radiographic imaging findings. Percutaneous transhepatic cholangiography and drainage (PTCD) is the therapy of choice for intrahepatic biliary injuries with jaundice or high fever.
