Cardiovascular and interventional radiology · 2000
Ischemic cholangitis caused by transcatheter hepatic arterial chemoembolization 10 months after resection of the extrahepatic bile duct.
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Hasegawa K, Kubota K, Aoki T, Hirai I, Miyazawa M, Ohtomo K, Makuuchi M
Аннотация
We report a case of ischemic cholangitis that occurred after transcatheter hepatic arterial chemoembolization (TAE). Ten months prior to TAE the patient had undergone central bisegmentectomy for hepatocellular carcinoma with resection of the extrahepatic bile duct. Eleven days after TAE, he developed suppurative cholangitis and multiple organ failure. Prior surgical ligation of the peribiliary arteries around the extrahepatic bile duct followed by TAE was considered to have played a crucial role in the development of ischemic cholangitis. This case demonstrates the importance of blood flow from the peribiliary arteries for the survival of the biliary epithelium.
Предметные рубрики MeSH
AngiographyAntineoplastic Combined Chemotherapy ProtocolsBile Duct NeoplasmsBile Ducts, ExtrahepaticBile Ducts, IntrahepaticCarcinoma, HepatocellularCarcinoma, PapillaryChemoembolization, TherapeuticCholangitisHepatic ArteryHumansInjections, Intra-ArterialIschemiaLiver NeoplasmsMagnetic Resonance ImagingMaleMiddle AgedNeoplasm Recurrence, LocalNeoplasms, Multiple PrimarySuctionTomography, X-Ray Computed