Copyright
©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Dec 14, 2014; 20(46): 17680-17685
Published online Dec 14, 2014. doi: 10.3748/wjg.v20.i46.17680
Published online Dec 14, 2014. doi: 10.3748/wjg.v20.i46.17680
Sclerosing cholangitis secondary to bleomycin-iodinated embolization for liver hemangioma
Shuo Jin, Xiao-Ju Shi, Xiao-Dong Sun, Guang-Yi Wang, Department of Hepatobiliary and Pancreatic Surgery, the First Norman Bethune Hospital Affiliated to Jilin University, Changchun 130021, Jilin Province, China
Si-Yuan Wang, Department of Surgery Intensive Care Unit, Beijing Chao-yang Hospital Affiliated to Capital Medical University, Beijing 10010, China
Author contributions: Jin S and Wang GY designed the study; Jin S, Sun XD, Shi XJ, Wang SY and Wang GY performed the surgical procedures; and Jin S drafted the manuscript.
Correspondence to: Guang-Yi Wang, MD, Professor, Department of Hepatobiliary and Pancreatic Surgery, The First Norman Bethune Hospital Affiliated to Jilin University, 71 Xinmin Street, Changchun 130021, Jilin Province, China. wgymd@sina.com
Telephone: +86-431-88782345 Fax: +86-431-88782345
Received: May 5, 2014
Revised: June 17, 2014
Accepted: July 22, 2014
Published online: December 14, 2014
Processing time: 227 Days and 6.8 Hours
Revised: June 17, 2014
Accepted: July 22, 2014
Published online: December 14, 2014
Processing time: 227 Days and 6.8 Hours
Core Tip
Core tip: Transcatheter arterial chemoembolization (TACE) with bleomycin-iodinated oil, a minimally invasive interventional treatment modality, is generally safe for treating liver cavernous hemangioma. Sclerosing cholangitis (SC) is a rare complication occurring after TACE. Operative exploration was indicated for our patient as preoperative imaging examination could not exclude the possibility of malignant hilar biliary stricture. Diagnosis of SC depends on the presence of chronic inflammation of the bile duct with characteristic features of sclerosis after primary SC is ruled out. Definitive treatment included radical hepatic hilar resection with hepatectomy and bile duct reconstruction.