scholarly journals Obstructive Jaundice Following Transarterial Chemoembolization for Hepatocellular Carcinoma with Bile Duct Invasion

2021 ◽  
Vol 5 (02) ◽  
pp. 127-130
Author(s):  
Kazuki Matsushita ◽  
Ken Kageyama ◽  
Natsuhiko Kameda ◽  
Yurina Koizumi ◽  
Akira Yamamoto
Keyword(s):  
Hepatocellular Carcinoma ◽  
Bile Duct ◽  
Obstructive Jaundice ◽  
Transarterial Chemoembolization ◽  
Tumor Invasion ◽  
Endoscopic Sphincterotomy ◽  
Biliary Obstruction ◽  
Intraductal Tumor ◽  
Bile Duct Invasion ◽  
The Common

AbstractHepatocellular carcinoma (HCC) with bile duct invasion is considered rare. A case in which a fragment of intraductal tumor dropped into the common bile duct after transarterial chemoembolization (TACE) and caused abdominal pain, and obstructive jaundice secondary to biliary obstruction is presented. This case was successfully managed by emergent endoscopic sphincterotomy. Physicians should recognize one of the complications due to TACE for HCC with intraductal tumor invasion.

S1289 Photodynamic Therapy for Unresectable Hepatocellular Carcinoma With Bile Duct Invasion and Obstructive Jaundice

2010 ◽  
Vol 138 (5) ◽  
pp. S-221
Author(s):  
Sunha Bahng ◽  
Kwang Hyuck Lee ◽  
Kyung Hee Kim ◽  
Song Yi Song ◽  
Byung Chul Yoo ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Photodynamic Therapy ◽  
Bile Duct ◽  
Obstructive Jaundice ◽  
Unresectable Hepatocellular Carcinoma ◽  
Bile Duct Invasion

scholarly journals Comparative study between ligature with thread or metallic clamping by means of laparoscopy with the purpose of experimental biliary obstruction in swines

2011 ◽  
Vol 26 (suppl 2) ◽  
pp. 31-37
Author(s):  
Edmilson Rodrigo Daneze ◽  
Guilherme Azevedo Terra ◽  
Júverson Alves Terra Júnior ◽  
Aline Gomes de Campos ◽  
Alex Augusto da Silva ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Obstructive Jaundice ◽  
Biliary Obstruction ◽  
Clinical Signs ◽  
Common Bile Duct Ligation ◽  
Duct Ligation ◽  
Group A ◽  
The Common ◽  
Group B

PURPOSE: To induce a total extra-hepatic obstructive jaundice in swines, by ligation of the common bile duct by laparoscopic surgery. METHODS: Eight swines of the Landrace race, 36-day-old, originated from the same matrix, distributed in two groups. Group A: was used titanium metal clip to the common bile duct ligation in three animals; group B: were ligated with 2-0 cotton thread in five animals. RESULTS: The ligation of the biliary ducts was performed successfully in all animals, with easy identification of the common bile duct by laparoscopy. There weren't difficulties in the procedures, mainly due to the increased surgical field provided by the excellent quality of light and image of the appliance. The clinical signs of jaundice were evident in the animals in seven days. In group A, two animals showed bile duct perforation near the clip, probably due to ischemic necrosis, progressing to peritonitis and death. In group B, five animals showed obstructive jaundice without any amendment. CONCLUSION: Under the conditions of this study, we therefore recommend the use of unabsorbed wires to experimental biliary obstruction, in order to avoid complications, such as ischemia and necrosis, followed by perforation of the wall of the bile ducts.

scholarly journals Successful Surgical Treatment of Hepatocellular Carcinoma Invading Into Biliary Tree

HPB Surgery ◽  
1991 ◽  
Vol 4 (3) ◽  
pp. 237-244 ◽  
Author(s):  
Kazuo Tanoue ◽  
Takashi Kanematsu ◽  
Takashi Matsumata ◽  
Ken Shirabe ◽  
Keizo Sugimachi ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Obstructive Jaundice ◽  
Single Case ◽  
Intrahepatic Bile Duct ◽  
Biliary Tree ◽  
Large Mass ◽  
Primary Hepatocellular Carcinoma ◽  
The Common

A 41-year-old woman was admitted to hospital with obstructive jaundice. Computed tomography showed a large mass in the right hepatic lobe and marked dilatation of the biliary tree in the left lateral segment of the liver. Angiography showed evidence of neovascularity. Percutaneous transhepatic cholangiography revealed complete obstruction of the common bile duct just below the bifurcation. The serum level of alpha-fetoprotein on admission was 1,080,000 ng/ml. These findings suggested to us a primary hepatocellular carcinoma invading the intrahepatic bile duct. Extended right lobectomy and hepaticojejunostomy for bile drainage was carried out. The patient is doing well 3 years after surgery.Hepatocellular carcinoma (HCC) invading to the portal vein is not so rare, but invasion into the bile duct is much less common. In 1947, Mallory1 described a single case of HCC invading the gallbladder and obstructing extrahepatic bile ducts. In 1975, Lin2 termed this HCC “Icteric type hepatoma”. The incidence of such HCC in Japan was reported to be 1.9-9%2,3.Obstructive jaundice is a clinical manifestation of the terminal stage in HCC. We describe here our treatment of a woman with HCC invading the common bile duct. Right extended lobectomy and reconstruction of hepaticojejunostomy were effective.

scholarly journals SUCCESFULLY RESECTED HEPATOCELLULAR CARCINOMA PRESENTING WITH OBSTRUCTIVE JAUNDICE DUE TO BILE DUCT INVASION-REPORT OF CASE-

1993 ◽  
Vol 54 (4) ◽  
pp. 1018-1023
Author(s):  
Koichi TASHIMA ◽  
Takashi KITAICHI ◽  
Yasushi FUKUTA ◽  
Hiroyuki HINO ◽  
Yoshiaki SHIMADA ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Bile Duct ◽  
Obstructive Jaundice ◽  
Bile Duct Invasion

Bronchobiliary Fistula after Transarterial Chemoembolization and Radiotherapyfor Hepatocellular Carcinoma with Bile Duct Invasion

2014 ◽  
Vol 13 (2) ◽  
pp. 173-177
Author(s):  
Jungran Choi ◽  
Yoomi Park ◽  
Kwangwon Rhee ◽  
Daewon Ma ◽  
Ja Kyung Kim ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Bile Duct ◽  
Transarterial Chemoembolization ◽  
Bronchobiliary Fistula ◽  
Bile Duct Invasion

scholarly journals A Case of Hepatocellular Carcinoma with Bile Duct Invasion Treated with Transarterial Chemoembolization

2014 ◽  
Vol 13 (2) ◽  
pp. 158-163
Author(s):  
Hee Yeon Kim ◽  
Chang Wook Kim ◽  
Chang Don Lee ◽  
Soo Lim Lee ◽  
Yoo Dong Won ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Bile Duct ◽  
Transarterial Chemoembolization ◽  
Bile Duct Invasion

scholarly journals Extraluminal recanalization for postoperative biliary obstruction using transseptal needle

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Hiroki Horinouchi ◽  
Eisuke Ueshima ◽  
Keitaro Sofue ◽  
Shohei Komatsu ◽  
Takuya Okada ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Bile Duct ◽  
Biliary Obstruction ◽  
Hepatic Duct ◽  
Drainage Tube ◽  
Biliary Strictures ◽  
Hepatic Bile ◽  
Hepatic Bile Duct ◽  
Benign Biliary Strictures ◽  
The Right

Abstract Background Postoperative biliary strictures are commonly related to accidental bile duct injuries or occur at the site of biliary anastomosis. The first-line treatment for benign biliary strictures is endoscopic therapy, which is less invasive and repeatable. However, recanalization for biliary complete obstruction is technically challenging to treat. The present report describes a successful case of treatment by extraluminal recanalization for postoperative biliary obstruction using a transseptal needle. Case presentation A 66-year-old woman had undergone caudal lobectomy for the treatment of hepatocellular carcinoma. The posterior segmental branch of the bile duct was injured and repaired intraoperatively. Three months after the surgery, the patient had developed biliary leakage from the right hepatic bile duct, resulting in complete biliary obstruction. Since intraluminal recanalization with conventional endoscopic and percutaneous approaches with a guidewire failed, extraluminal recanalization using a transseptal needle with an internal lumen via percutaneous approach was performed under fluoroscopic guidance. The left lateral inferior segmental duct was punctured, and an 8-F transseptal sheath was introduced into the ostium of right hepatic duct. A transseptal needle was advanced, and the right hepatic duct was punctured by targeting an inflated balloon that was placed at the end of the obstructed right hepatic bile duct. After confirming successful puncture using contrast agent injected through the internal lumen of the needle, a 0.014-in. guidewire was advanced into the right hepatic duct. Finally, an 8.5-F internal–external biliary drainage tube was successfully placed without complications. One month after the procedure, the drainage tube was replaced with a 10.2-F drainage tube to dilate the created tract. Subsequent endoscopic internalization was performed 5 months after the procedure. At the 1-year follow-up examination, there was no sign of biliary obstruction and recurrence of hepatocellular carcinoma. Conclusions Recanalization using a transseptal needle can be an alternative technique for rigid biliary obstruction when conventional techniques fail.

Sign in / Sign up

Export Citation Format

Share Document