Value of intracavitary contrast-enhanced ultrasound in diagnosis of biliary-bronchial fistula after ;hepatocellular carcinoma ablation
10.3877/cma.j.issn.2095-3232.2016.01.012
- VernacularTitle:腔内超声造影在肝细胞癌消融术后胆管支气管瘘诊断中的价值
- Author:
Zehao ZHOU
1
;
Qiannan HUANG
;
Erjiao XU
;
Rongqin ZHENG
;
Kai LI
Author Information
1. 中山大学附属第三医院超声科
- Keywords:
Liver neoplasms;
Endosonography;
Catheter ablation;
Complications
- From:
Chinese Journal of Hepatic Surgery（Electronic Edition）
2016;5(1):47-50
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the value of intracavitary contrast-enhanced ultrasound in the diagnosis of biliary-bronchial fistula after hepatocellular carcinoma ablation. Methods Clinical data of 1 case with biliary-bronchial ifstula after hepatocellular carcinoma ablation in the Third Afifliated Hospital of Sun Yat-sen University were retrospectively analyzed. The informed consent was obtained and the local ethical committee approval had been received. The male patient, aged 56 years, underwent ultrasound-guided hepatocellular carcinoma radiofrequency ablation in September 2010. Examination revealed the tumor was completely ablated and no recurrence was detected 1 month after ablation. Ten months after operation, the patient suffered from recurrent fever and developed coughing up of bile-stained sputum at 17 months after ablation. MRI examination indicated the formation of a bile lake at the ablation site and percutaneous catheter drainage was performed. The diagnosis was conifrmed by lfuoroscopic and intracavitary contrast-enhanced ultrasound examination. Results The biliary fistula tract was found connected to the right chest by intracavitary contrast-enhanced ultrasound examination. After drainage the patients' symptoms were relieved. The biliary ifstula tract disappeared when checked by intracavitary contrast-enhanced ultrasound but the bile lake still existed. Right hemihepatectomy was performed subsequently. The patient was cured and discharged. Conclusions Biliary-bronchial fistula is a rare complication after hepatocellular carcinoma ablation. Intracavitary contrast-enhanced ultrasound could serve as a useful complementary method for the diagnosis and treatment of biliary-bronchial ifstula.
