Biliary complications after transcatheter arterial chemoembolization for hepatocellular carcinoma

Abstract

Transarterial chemoembolization (TACE) is considered an effective procedure for liver malignancy. Although the majority of TACE related complications can be treated conservatively, appropriate therapeutic interventions, such as percutaneous/endoscopic drainage or partial hepatectomy, might be needed in cases of signs of severe infection and/or progressive biloma. Therefore, we herein report a case of TACE induced biliary complications which were treated with a multi-disciplinary approach; intrahepatic progressive biloma was treated with percutaneous drainage, intrahepatic bile duct stricture was treated by endoscopic balloon dilation and plastic stent placement.

Keywords

• drainage
• endoscopy
• intrahepatic bile ducts
• therapeutic chemoembolization