Your browser doesn't support javascript.
loading
Acute Obstructive Cholangitis Complicated by Tumor Migration after Transarterial Chemoembolization: A Case Report and Literature Review / 대한소화기학회지
Article em En | WPRIM | ID: wpr-89368
Biblioteca responsável: WPRO
ABSTRACT
Intraductal tumor invasion of hepatocellular carcinoma (HCC) is considered rare. Transarterial chemoembolization (TACE) is effective for tumor thrombus of HCC in the bile duct. However, a few cases of obstructive jaundice caused by migration of a tumor fragment after TACE have recently been reported. The aim of this study was to identify factors that affect tumor migration after TACE. At this writing, a review of the medical literature disclosed seven reported cases of biliary obstruction caused by migration of a necrotic tumor cast after TACE. We, herein, report on an additional case of acute obstructive cholangitis complicated by migration of a necrotic tumor cast after TACE for intrabile duct invasion of HCC, in a 71-year-old man. The tumor cast in the common bile duct was removed successfully using a basket during ERCP and was pathologically confirmed to be a completely necrotic fragment of HCC. The patient's symptoms showed dramatic improvement. In summary, physicians should be aware of acute obstructive cholangitis complicated by tumor migration in a patient undergoing TACE. We suggest that an intrabile duct invasion would be a major predisposing factor of tumor migration after TACE and drainage procedures such as ERCP or percutaneous transbiliary drainage could be effective treatment modalities in these patients.
Assuntos
Palavras-chave
Texto completo: 1 Base de dados: WPRIM Assunto principal: Trombose / Ductos Biliares Intra-Hepáticos / Tomografia Computadorizada por Raios X / Colangite / Doença Aguda / Colangiopancreatografia Retrógrada Endoscópica / Esfinterotomia Endoscópica / Quimioembolização Terapêutica / Carcinoma Hepatocelular / Icterícia Obstrutiva Tipo de estudo: Prognostic_studies Limite: Aged / Humans / Male Idioma: En Revista: Korean J. Gastroenterol. (Online) Ano de publicação: 2014 Tipo de documento: Article
Texto completo: 1 Base de dados: WPRIM Assunto principal: Trombose / Ductos Biliares Intra-Hepáticos / Tomografia Computadorizada por Raios X / Colangite / Doença Aguda / Colangiopancreatografia Retrógrada Endoscópica / Esfinterotomia Endoscópica / Quimioembolização Terapêutica / Carcinoma Hepatocelular / Icterícia Obstrutiva Tipo de estudo: Prognostic_studies Limite: Aged / Humans / Male Idioma: En Revista: Korean J. Gastroenterol. (Online) Ano de publicação: 2014 Tipo de documento: Article