A 72-years-old man who had HCV antibody underwent transarterial chemoembolization due to hepatocellular carcinoma. Before transarterial chemoembolization, his creatinin level was 1.7 mg/dl. After 2 days later, acute renal failure was developed and subsequently esophageal variceal bleeding and hepatorenal syndrome were developed. After 1month later, he was dead due to hepatic failure. We report a case of hepatic failure triggered by acute renal failure which was doubted by contrast media.