Abscesso-Colonic Fistula Following Radiofrequency Ablation Therapy for Hepatocellular Carcinoma; A Case Successfully Treated with Histoacryl Embolization.
10.4166/kjg.2011.58.5.270
- Author:
Ji Yeon KIM
1
;
Young Hwan KWON
;
Sang Jik LEE
;
Se Young JANG
;
Hae Min YANG
;
Seong Woo JEON
;
Young Oh KWEON
Author Information
1. Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea. yokweon@knu.ac.kr
- Publication Type:Case Report ; English Abstract
- Keywords:
Carcinoma;
Hepatocellular;
Radiofrequency catheter ablation;
Fistula;
Abscess
- MeSH:
Aged;
Anti-Bacterial Agents/therapeutic use;
Carcinoma, Hepatocellular/diagnosis/*surgery;
Catheter Ablation/*adverse effects;
Colonic Diseases/etiology/*therapy;
Drainage;
Embolization, Therapeutic;
Enbucrilate/*therapeutic use;
Humans;
Intestinal Fistula/etiology/*therapy;
Liver Abscess/etiology/ultrasonography;
Liver Neoplasms/diagnosis/*surgery;
Male;
Pseudomonas aeruginosa/isolation & purification;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2011;58(5):270-274
- CountryRepublic of Korea
- Language:English
-
Abstract:
Hepatocellular carcinoma (HCC) is one of the most common malignant neoplasms occuring worldwide. Although surgical resection still remains the treatment of choice for HCC, radiofrequency ablation (RFA) has emerged as reliable alternatives to resection. It is less invasive and can be repeated after short intervals for sequential ablation in case of multiple lesions. The most common complication of RFA is liver abscess, and bile duct injury such as bile duct stricture has been reported. This is a case report of a rare complication of abscesso-colonic fistula after RFA for HCC. The case was treated by percutaneous abscess drainage and antibiotics and occlusion of abscesso-colonic fistula with n-butyl-2-cyanoacrylate embolization.
