Fig. 1. A 68-year-old man with hepatocellular carcinoma (HCC) with previous transarterial chemoembolization (TACE). Axial images (A, B) of contrast-enhanced computed tomography scan before stent insertion show partial lipiodol uptaken HCC. HCC mass compress confluence of both intrahepatic ducts. Total bilirubin was 34 mg/dL. Anteroposterior (AP) digital spot image (C) after placement of 10 mm × 7 cm-diameter biliary stent. Total bilirubin level decreased to 7.4 mg/dL. There was no significant bleeding during percutaneous transhepatic biliary drainage (PTBD) and stent insertion procedures. Because of stent occlusion after one year, additional stent insertion was needed. AP digital spot image (D) after placement of 10 mm × 10 cm-diameter biliary stent (catheter: 7 F). The total bilirubin level was normalized.
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