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Bile duct strictures associated with hepatic arterial infusion chemotherapy

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Abstract

We report 6 cases of bile duct strictures in patients receiving intraarterial floxuridine chemotherapy for metastatic colon carcinoma. The computed tomographic and cholangiographic features of these cases mimic those seen with primary sclerosing cholangitis. The postulated mechanism for development of biliary strictures is direct toxicity and/or occlusion of the peribiliary vascular plexus with resultant biliary fibrosis.

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References

  1. Sullivan RD, Zurek WZ: Chemotherapy for liver cancer by protracted ambulatory infusion.JAMA 194:481–486, 1965

    Google Scholar 

  2. Watkins E, Khazei AM, Nahra KS: Surgical basis for arterial infusion chemotherapy of disseminated carcinoma of the liver.Surg Gynecol Obstet 130:581–605, 1970

    Google Scholar 

  3. Ansfield J, Ramirez J, Skibba L, Byron R, Davis HL, Wirtanen GW: Intrahepatic arterial infusion with 5-fluorouracil.Cancer 28:1147–1151, 1971

    Google Scholar 

  4. Cady B, Oberfield RA: Regional infusion chemotherapy of hepatic metastases from carcinoma of the colon.Am J Surg 127:220–227, 1974

    Google Scholar 

  5. Wirtanen GW: Percutaneous transbrachial artery infusion catheter techniques.Am J Roentgenol 117:696–700, 1973

    Google Scholar 

  6. Clouse ME, Ahmed R, Ryan RB, Oberfield RA, McCaffrey JA: Complications of long term transbrachial hepatic arterial infusion chemotherapy.Am J Roentgenol 129:799–803, 1977

    Google Scholar 

  7. Chuang VP, Wallace S: Arterial infusion and occlusion in cancer patients.Semin Roentgenol 16:13–25, 1981

    Google Scholar 

  8. Chuang VP, Wallace S: Interventional approaches to hepatic tumor treatment.Semin Roentgenol 18:127–135, 1983

    Google Scholar 

  9. Charnsangavej C, Chuang VP, Wallace S, Soo CS, Bowers T: Transcatheter management of primary hepatocellular carcinoma.Radiology 147:51–55, 1983

    Google Scholar 

  10. Hall DA, Clouse ME, Gramm HF: Gastroduodenal ulceration after hepatic arterial infusion chemotherapy.AJR 136:1216–1218, 1981

    Google Scholar 

  11. Carrasco CH, Freeny PC, Chuang VP, Wallace S: Chemicalcholecystitis associated with hepatic artery infusion chemotherapy.AJR 141:703–706, 1983

    Google Scholar 

  12. Hohn D, Melnick J, Stagg R, Altman D, Friedman M, Ignoffo R, Ferrell L, Lewis B: Biliary sclerosis in patients receiving hepatic arterial infusions of floxuridine.J Clin Oncol 3:98–102, 1985

    Google Scholar 

  13. Kemeny N, Daly J, Oderman P: Hepatic artery pump infusion: toxicity and results in patients with metastatic colorectal carcinoma.J Clin Oncol 2:595–600, 1984

    Google Scholar 

  14. Botet JF, Watson RC, Kemeny YN, Daly JM, Yeh S: Cholangitis complicating intraarterial chemotherapy in liver metastases.Radiology 156:335–337, 1985

    Google Scholar 

  15. Pien EH, Zeman RK, Benjamin SB, Barth KH, Jaffe MH, Choyke PL, Clark LR, Paushter DM: Iatrogenic sclerosing cholangitis following hepatic intraarterial chemotherapy infusion.Radiology 156:329–330, 1985

    Google Scholar 

  16. Rohrmann CA, Ansel HJ, Freeny PC, Silverstein FE, Protell RL, Fenster LF, Ball T, Vennes JA, Silvis JA, Silvis SE: Cholangiographic abnormalities in patients with inflammatory bowel disease.Radiology 127:635–641, 1978

    Google Scholar 

  17. Carroll BA, Oppenheimer DA: Sclerosing cholangitis: demonstration of bile duct wall thickening.AJR 139:1016–1018, 1982

    Google Scholar 

  18. MacCarty RL, LaRusso NF, Wiesner RH, Ludwig J: Primary sclerosing cholangitis: findings on cholangiography and pancreatography.Radiology 149:39–44, 1983

    Google Scholar 

  19. Ament AE, Haage JR, Wiedenmann SD, Barkmeier JD, Morrison SC: Primary sclerosing cholangitis: CT findings.J Comput Assist Tomogr 7:795–800, 1983

    Google Scholar 

  20. Rahn NH, Koehler RE, Weyman P, Truss CD, Sagel SS, Stanley RJ: CT appearance of sclerosing cholangitis.AJR 141:549–552, 1983

    Google Scholar 

  21. Altemeier WA, Gall EA, Culbertson WR, Inge WW: Sclerosing carcinoma of the intrahepatic (hilar) ducts.Surgery 60:191–200, 1966

    Google Scholar 

  22. Legge DA, Carlson HC: Cholangiographic appearance of primary carcinoma of the bile ducts.Radiology 102:259–266, 1972

    Google Scholar 

  23. Cho KJ, Lunderquist A: The peribiliary vascular plexus: the microvascular architecture of the bile duct in the rabbit and clinical cases.Radiology 147:357–364, 1983

    Google Scholar 

  24. Doppman JL, Girton ME: Bile duct scarring following ethanol embolization of the hepatic artery; an experimental study in monkeys.Radiology 152:621–626, 1984

    Google Scholar 

  25. O'Riordan D, McAllister H, Sheahan BJ, MacErlean DP: Hepatic infarction with absolute ethanol.Radiology 152:627–630, 1984

    Google Scholar 

  26. Clouse ME, Lee RGL, Duszlak EJ, Lokich JJ, Trey C, Alday MR, Yoburn DC, Diamond J, Crosson AW, Costell P: Peripheral hepatic arterial embolization for primary and secondary hepatic neoplasms.Radiology 147:407–411, 1983

    Google Scholar 

  27. Wallace S: Ethanol for hepatic artery embolization.Radiology 152:821–822, 1984

    Google Scholar 

  28. Doppman JL, Domnick NR, Girton M, Fauci AS, Popovski MA: Bile duct cysts secondary to liver infarcts: report of a case and experimental production by small vessel hepatic artery occlusion.Radiology 130:1–5, 1979

    Google Scholar 

  29. Makenchi M, Sukigara M, Mori T, Kobayashi J, Yamazaki S, Hasegawa H, Moriyama N, Takayasu K, Hirohaski S: Bile duct necrosis: complication of transcatheter hepatic arterial embolization.Radiology 156:331–334, 1985

    Google Scholar 

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Clark, R.A., Gallant, T.E. Bile duct strictures associated with hepatic arterial infusion chemotherapy. Gastrointest Radiol 12, 148–151 (1987). https://doi.org/10.1007/BF01885126

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  • DOI: https://doi.org/10.1007/BF01885126

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