Post-transarterial chemoembolization (TACE) biloma mimicking liver abscess: The role of different imaging modalities

Research output: Contribution to journalArticle

Abstract

Transarterial chemoembolization (TACE) is a recognized mode of treatment for patients with hepatocellular carcinoma. Complications related to the procedure such as liver failure, liver abscess, bile duct infection or even pulmonary embolism are known to cause morbidity and mortality in these patients. Biloma is a rare complication of TACE. Its incidence has been reported as between 0.9 - 2.1%. It is caused by injury to the arterial supply of bile duct, which then forms a bile-contained cavity either intra-hepatic or extra-hepatic in location. We report the case of a patient with recurrent hepatocellular carcinoma who was treated with TACE. He developed an infected biloma post-procedure. He had different imaging modalities that pointed to the diagnosis of biloma. He underwent appropriate management that led to resolution of the biloma.

Original languageEnglish
Pages (from-to)342-345
Number of pages4
JournalKuwait Medical Journal
Volume46
Issue number4
Publication statusPublished - 1 Dec 2014

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Liver Abscess
Bile Ducts
Hepatocellular Carcinoma
Liver
Liver Failure
Pulmonary Embolism
Bile
Morbidity
Mortality
Incidence
Wounds and Injuries
Infection
Therapeutics

Keywords

  • Biloma
  • Complication
  • Post-chemoembolization
  • TACE

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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abstract = "Transarterial chemoembolization (TACE) is a recognized mode of treatment for patients with hepatocellular carcinoma. Complications related to the procedure such as liver failure, liver abscess, bile duct infection or even pulmonary embolism are known to cause morbidity and mortality in these patients. Biloma is a rare complication of TACE. Its incidence has been reported as between 0.9 - 2.1{\%}. It is caused by injury to the arterial supply of bile duct, which then forms a bile-contained cavity either intra-hepatic or extra-hepatic in location. We report the case of a patient with recurrent hepatocellular carcinoma who was treated with TACE. He developed an infected biloma post-procedure. He had different imaging modalities that pointed to the diagnosis of biloma. He underwent appropriate management that led to resolution of the biloma.",
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