[A case of intrahepatic bile duct necrosis following hepatic arterial infusion chemotherapy]

Gan To Kagaku Ryoho. 2002 Nov;29(12):2071-3.
[Article in Japanese]

Abstract

A 51-year-old man underwent partial hepatectomy in July 2000 for metastatic liver tumor after gastrectomy for gastric cancer. He received seven cycles of hepatic arterial infusion with mitomycin C 20 mg during induced hypertension with angiotensin II from October 2000 to April 2001. His body temperature sometimes rose above 38 degrees C in June and jaundice appeared in August 2001. Blood biochemistry tests showed an elevated value of alkaline phosphatase, gamma-glutamyl transpepsidase and total bilirubin. Based on an enhanced CT scan of the liver showing a low-density area along intrahepatic biliary tracts and hepatic arteriography showing stenosis of the proper hepatic artery, we diagnosed bile duct necrosis and hepatic necrosis. Bile duct necrosis is a serious complication in arterial infusion chemotherapy, and the infusion chemotherapy should be suspended or the dose should be reduced for patients with abnormalities shown by hepato-biliary function tests.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Alkaline Phosphatase / blood
  • Antibiotics, Antineoplastic / administration & dosage*
  • Antibiotics, Antineoplastic / adverse effects
  • Bile Ducts, Intrahepatic / pathology*
  • Humans
  • Infusions, Intra-Arterial / adverse effects*
  • Liver Neoplasms / drug therapy
  • Liver Neoplasms / secondary
  • Male
  • Middle Aged
  • Mitomycin / administration & dosage
  • Mitomycin / adverse effects
  • Necrosis
  • gamma-Glutamyltransferase / blood

Substances

  • Antibiotics, Antineoplastic
  • Mitomycin
  • gamma-Glutamyltransferase
  • Alkaline Phosphatase