Intraductal migration of necrotic hepatocellular carcinoma: A possible cause of obstructive cholangitis after chemoembolization
Acute obstructive cholangitis due to the migration of necrotized tumor fragment(s) has been rarely reported after transarterial chemoembolization (TACE). We report an unusual case of it, which was demonstrated by computed tomography (CT) and endoscopic retrograde cholangiography. We suggest that in...
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| Format: | Article |
| Language: | English |
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Society of Gastrointestinal Intervention
2018-04-01
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| Series: | Gastrointestinal Intervention |
| Subjects: | |
| Online Access: | https://doi.org/10.18528/gii160030 |
| _version_ | 1819161991017660416 |
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| author | Hyo Jung Park Ji Hoon Shin |
| author_facet | Hyo Jung Park Ji Hoon Shin |
| author_sort | Hyo Jung Park |
| collection | DOAJ |
| description | Acute obstructive cholangitis due to the migration of necrotized tumor fragment(s) has been rarely reported after transarterial chemoembolization (TACE). We report an unusual case of it, which was demonstrated by computed tomography (CT) and endoscopic retrograde cholangiography. We suggest that in the setting of acute biliary obstruction after TACE with a CT-demonstrated new intraductal soft tissue lesion with or without a radiopaque portion, along with no or less visualization of a previous tumor located inside or near the duct, the possibility of intraductal migration of a necrotic tumor fragment should be considered. Both clinicians and radiologists should become familiar with this condition because it may be ignored or misinterpreted as biliary calculi. |
| first_indexed | 2024-12-22T17:21:08Z |
| format | Article |
| id | doaj.art-586a93aea7bc4ae5955c428dbc449c01 |
| institution | Directory Open Access Journal |
| issn | 2213-1795 |
| language | English |
| last_indexed | 2024-12-22T17:21:08Z |
| publishDate | 2018-04-01 |
| publisher | Society of Gastrointestinal Intervention |
| record_format | Article |
| series | Gastrointestinal Intervention |
| spelling | doaj.art-586a93aea7bc4ae5955c428dbc449c012022-12-21T18:18:49ZengSociety of Gastrointestinal InterventionGastrointestinal Intervention2213-17952018-04-0171293310.18528/gii160030gii160030Intraductal migration of necrotic hepatocellular carcinoma: A possible cause of obstructive cholangitis after chemoembolizationHyo Jung Park0Ji Hoon Shin1Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, KoreaDepartment of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, KoreaAcute obstructive cholangitis due to the migration of necrotized tumor fragment(s) has been rarely reported after transarterial chemoembolization (TACE). We report an unusual case of it, which was demonstrated by computed tomography (CT) and endoscopic retrograde cholangiography. We suggest that in the setting of acute biliary obstruction after TACE with a CT-demonstrated new intraductal soft tissue lesion with or without a radiopaque portion, along with no or less visualization of a previous tumor located inside or near the duct, the possibility of intraductal migration of a necrotic tumor fragment should be considered. Both clinicians and radiologists should become familiar with this condition because it may be ignored or misinterpreted as biliary calculi.https://doi.org/10.18528/gii160030Carcinoma, hepatocellularChemoembolization, therapeuticCholestasis |
| spellingShingle | Hyo Jung Park Ji Hoon Shin Intraductal migration of necrotic hepatocellular carcinoma: A possible cause of obstructive cholangitis after chemoembolization Gastrointestinal Intervention Carcinoma, hepatocellular Chemoembolization, therapeutic Cholestasis |
| title | Intraductal migration of necrotic hepatocellular carcinoma: A possible cause of obstructive cholangitis after chemoembolization |
| title_full | Intraductal migration of necrotic hepatocellular carcinoma: A possible cause of obstructive cholangitis after chemoembolization |
| title_fullStr | Intraductal migration of necrotic hepatocellular carcinoma: A possible cause of obstructive cholangitis after chemoembolization |
| title_full_unstemmed | Intraductal migration of necrotic hepatocellular carcinoma: A possible cause of obstructive cholangitis after chemoembolization |
| title_short | Intraductal migration of necrotic hepatocellular carcinoma: A possible cause of obstructive cholangitis after chemoembolization |
| title_sort | intraductal migration of necrotic hepatocellular carcinoma a possible cause of obstructive cholangitis after chemoembolization |
| topic | Carcinoma, hepatocellular Chemoembolization, therapeutic Cholestasis |
| url | https://doi.org/10.18528/gii160030 |
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