Arterio-biliary fistula as rare complication of chemoradiation therapy for intrahepatic cholangiocarcinoma

Koichi Hayano; Fumihiko Miura; Hodaka Amano; Naoyuki Toyota; Keita Wada; Kenichiro Kato; Tadahiro Takada; Takehide Asano

doi:10.4329/wjr.v2.i9.374

Arterio-biliary fistula as rare complication of chemoradiation therapy for intrahepatic cholangiocarcinoma

World J Radiol. 2010 Sep 28;2(9):374-6. doi: 10.4329/wjr.v2.i9.374.

Authors

Koichi Hayano¹, Fumihiko Miura, Hodaka Amano, Naoyuki Toyota, Keita Wada, Kenichiro Kato, Tadahiro Takada, Takehide Asano

Affiliation

¹ Koichi Hayano, Fumihiko Miura, Hodaka Amano, Naoyuki Toyota, Keita Wada, Kenichiro Kato, Tadahiro Takada, Takehide Asano, Department of Surgery, Teikyo University School of Medicine, 2-11-1, Kaga, Itabashi-ku, Tokyo 173-8605, Japan.

Abstract

Significant hemobilia due to arterio-biliary fistula is a very rare complication of chemoradiation therapy (CRT) for unresectable intrahepatic cholangiocarcinoma (ICC). Here we report a case of arterio-biliary fistula after CRT for unresectable ICC demonstrated by angiographic examinations. This fistula was successfully treated by endovascular embolization. Hemobilia is a rare complication, but arterio-biliary fistula should be considered after CRT of ICC.

Keywords: Arterio-biliary fistula; Chemoradiation therapy; Endovascular embolization; Hemobilia; Intrahepatic cholangiocarcinoma.