1.A case of hemocholecyst associated with hemobilia following radiofrequency ablation therapy for hepatocellular carcinoma.
Keun Young SHIN ; Jun HEO ; Ji Yeon KIM ; Sang Jik LEE ; Se Young JANG ; Soo Young PARK ; Min Kyu JUNG ; Chang Min CHO ; Won Young TAK ; Young Oh KWEON
The Korean Journal of Hepatology 2011;17(2):148-151
Radiofrequency ablation (RFA) is performed as an alternative to surgical resection for primary or secondary liver malignancies. Although RFA can be performed safely in most patients, early and late complications related to mechanical or thermal damage occur in 8-9.5% cases. Hemocholecyst, which refers to hemorrhage of the gallbladder, has been reported with primary gallbladder disease or as a secondary event associated with hemobilia. Hemobilia, defined as hemorrhage in the biliary tract and most commonly associated with accidental or iatrogenic trauma, is a rare complication of RFA. Here we report a case of hemocholecyst associated with hemobilia after RFA for hepatocellular carcinoma that was successfully managed by laparoscopic cholecystectomy.
Aged
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Carcinoma, Hepatocellular/*surgery
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Catheter Ablation/*adverse effects
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Cholangiopancreatography, Endoscopic Retrograde
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Cholecystectomy
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Gallbladder Diseases/*etiology/surgery/ultrasonography
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Hemobilia/diagnosis/*etiology/surgery
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Hemorrhage/*etiology
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Humans
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Liver Neoplasms/*surgery
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Male
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Tomography, X-Ray Computed
2.Hepatoma presenting as extrahepatic biliary obstruction due to hemobilia.
Byoung Seon RHOE ; Hoguen KIM ; So Young JIN ; Woo Ick JANG
Yonsei Medical Journal 1989;30(4):383-386
A case of hepatoma presenting as extrahepatic biliary obstruction due to hemobilia is reported. The patient, a 49-year-old woman, developed jaundice of the obstructive type after a history of B-viral hepatitis. On laparotomy, the liver revealed macronodular cirrhosis without any noticeable mass. A 4-cm sized friable tissue and blood clots were identified within the distended left hepatic duct. Pathologic examination of this tissue confirmed the diagnosis of hepatocellular carcinoma extended in the hepatic duct.
Bile Duct Obstruction, Extrahepatic/*etiology/pathology
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Biopsy
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Carcinoma, Hepatocellular/*complications/pathology/surgery
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Case Report
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Common Bile Duct/pathology
;
Female
;
Hemobilia/*complications
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Human
;
Liver Cirrhosis/diagnosis
;
Liver Neoplasms
;
Middle Age
3.Hepatoma presenting as extrahepatic biliary obstruction due to hemobilia.
Byoung Seon RHOE ; Hoguen KIM ; So Young JIN ; Woo Ick JANG
Yonsei Medical Journal 1989;30(4):383-386
A case of hepatoma presenting as extrahepatic biliary obstruction due to hemobilia is reported. The patient, a 49-year-old woman, developed jaundice of the obstructive type after a history of B-viral hepatitis. On laparotomy, the liver revealed macronodular cirrhosis without any noticeable mass. A 4-cm sized friable tissue and blood clots were identified within the distended left hepatic duct. Pathologic examination of this tissue confirmed the diagnosis of hepatocellular carcinoma extended in the hepatic duct.
Bile Duct Obstruction, Extrahepatic/*etiology/pathology
;
Biopsy
;
Carcinoma, Hepatocellular/*complications/pathology/surgery
;
Case Report
;
Common Bile Duct/pathology
;
Female
;
Hemobilia/*complications
;
Human
;
Liver Cirrhosis/diagnosis
;
Liver Neoplasms
;
Middle Age