Hepatocolic Fistula after Radiofrequency Ablation for Hepatocellular Carcinoma.
- Author:
Min Gyu KANG
1
;
Tae Hee LEE
;
Woon Tae NA
;
Ji Hyun JEONG
;
Dong Hyuk LIM
;
Mahn LEE
;
Young Woo KANG
Author Information
1. Division of Gastroenterology & Hepatology, Department of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea. mc1011@hanmail.net
- Publication Type:Case Report
- Keywords:
Hepatic abscess;
Hepatocolic fistula;
Radiofrequency ablation
- MeSH:
Anti-Bacterial Agents;
Carcinoma, Hepatocellular;
Chills;
Colonoscopy;
Fever;
Fistula;
Fluoroscopy;
Hepatitis B;
Humans;
Liver;
Liver Abscess;
Liver Cirrhosis;
Male;
Middle Aged
- From:Korean Journal of Medicine
2012;83(4):480-484
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Radiofrequency ablation (RFA) is a relatively safe therapy for patients with hepatocellular carcinoma (HCC); however, complications are not unknown. A hepatocolic fistula is a rare complication after RFA. We report a case of a hepatocolic fistula following a liver abscess after RFA for HCC in a 58-year-old male. The patient was diagnosed with HCC and liver cirrhosis from hepatitis B infection 3 years prior to admission. The HCC was in segment 6 of the liver and was treated with transarterial chemoembolization and RFA. One month after the second RFA, he was diagnosed with a liver abscess, for which he was treated with antibiotics for 2 months, but continued to have intermittent fever and chills. We made a diagnosis of hepatocolic fistula using colonoscopy, fluoroscopy, and liver dynamic computed tomography. The patient underwent a surgical procedure after antibiotic therapy. Although a hepatocolic fistula is a rare complication following RFA, clinicians should be aware of its existence.
