Acute obstructive cholangitis due to the migration of necrotized tumor fragment is a rare complication occurring after a transarterial chemoembolization. The percutaneous tumor removal procedure following percutaneous transhepatic biliary drainage is an appropriate treatment over endoscopic removal for the relief of acute cholangitis in this case. Following this serial management, no invasive hepatocellular carcinoma of the bile duct recurred after two years of follow-up.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2651439PMC
http://dx.doi.org/10.3348/kjr.2009.10.2.197DOI Listing

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