Bile Duct Stenosis & Intrahepatic Stones after a Transcather Hepatic Arterial Embolization: A case report .
- Author:
Kyoung Soon PARK
;
Sang Mok LEE
;
Sung Wha HONG
;
Hoong Jae JOO
;
Joo Hyoung OH
- Publication Type:Case Report
- Keywords:
HCC;
THAE;
Intrahepatic stones
- MeSH:
Bile Ducts*;
Bile*;
Carcinoma, Hepatocellular;
Cholecystitis;
Constriction, Pathologic*;
Doxorubicin;
Ethiodized Oil;
Gallbladder;
Hepatectomy;
Liver;
Necrosis
- From:Journal of the Korean Surgical Society
1998;54(3):441-446
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Transcatheter hepatic arterial embolization (THAE) is one of the treatment modalities that can be applied to hepatocellular carcinomas (HCC) and metastatic tumors of the liver. Complications such as cholecystitis and gallbladder necrosis, are common with THAE, but liver and peripheral bile duct necrosis are rare, and intrahepatic stones with main bile duct necrosis have never been reported. To prevent intrahepatic spread during operative manupulation and to decrease the vascularity and size of the tumor, we performed a THAE on a huge-sized HCC five times before performing the hepatectomy. We succesfully undertook a right lobectomy after the THAE with lipiodol, gelform, and adriamycin. However, severe bile duct stricture and intrahepatic stones were confirmed during the operation.
