Ischemic cholangitis caused by transcatheter hepatic arterial chemoembolization 10 months after resection of the extrahepatic bile duct

被引:14
作者
Hasegawa, K [1 ]
Kubota, K [1 ]
Aoki, T [1 ]
Hira, I [1 ]
Miyazawa, M [1 ]
Ohtomo, K [1 ]
Makuuchi, M [1 ]
机构
[1] Univ Tokyo, Grad Sch Med, Dept Surg, Hepatobiliary Pancreat Surg Div,Bunkyo Ku, Tokyo 1138655, Japan
关键词
transcatheter hepatic arterial chemoembolization hepatocellular carcinoma; ischemic cholangitis;
D O I
10.1007/s002700010074
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
收藏
页码:304 / 306
页数:3
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