Korean J Pancreas Biliary Tract.  2014 Jan;19(1):31-36. 10.15279/kpba.2014.19.1.31.

A Case of Successful Treatment for Obstructive Jaundice in Hepatocellular Carcinoma with A Biliary Invasion by Transcatheter Arterial Chemoembolization after Biliary Drainage

• Yu CH
• Park JG
• Kim GY
• Hwang HY
• Jung MK
• Bae HI
• Kim GC
• Cho CM

• KMID: 2448432
• DOI: http://doi.org/10.15279/kpba.2014.19.1.31

Abstract

Biliary invasion by hepatocellular carcinoma (HCC) is much less common. Patients manifest obstructive jaundice as the initial complaint, but most of them are inoperable. We report a case of completely improved biliary invasion in HCC after transcatheter arterial chemoembolization (TACE). A 61-year-old woman was referred for evaluation of jaundice. A biliary invasion of huge HCC was confirmed by image of abdominal computerized tomography (CT) and biopsy specimen. After improvement of jaundice by endoscopic retrograde biliary drainage and percutaneous transhepatic biliary drainage, she underwent TACE as a palliative treatment. Follow-up CT showed partial lipiodol uptake in hepatic tumor and its bile duct invasion. In follow-up endoscopic retrograde cholangiopancreatography, occluded cholangiogram showed neither luminal obstruction nor filling defect after removal of biliary stent. Our case suggests that obstructive jaundice, caused by inoperable huge HCC with biliary invasion, may be expected to resolve successfully biliary obstruction by a choice of TACE.

Keyword

Jaundice; Biliary tract; Carcinoma; Hepatocellular; Chemoembolization

MeSH Terms

Bile Ducts
Biliary Tract
Biopsy
Carcinoma, Hepatocellular*
Cholangiopancreatography, Endoscopic Retrograde
Drainage*
Ethiodized Oil
Female
Follow-Up Studies
Humans
Jaundice
Jaundice, Obstructive*
Middle Aged
Palliative Care
Phenobarbital
Stents
Ethiodized Oil
Phenobarbital