J Korean Surg Soc.  1998 Mar;54(3):441-446.

Bile Duct Stenosis & Intrahepatic Stones after a Transcather Hepatic Arterial Embolization: A case report

• Park KS
• Lee SM
• Hong SW
• Joo HJ
• Oh JH

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.

Keyword

HCC; THAE; Intrahepatic stones

MeSH Terms

Bile Ducts*
Bile*
Carcinoma, Hepatocellular
Cholecystitis
Constriction, Pathologic*
Doxorubicin
Ethiodized Oil
Gallbladder
Hepatectomy
Liver
Necrosis
Doxorubicin
Ethiodized Oil