Gallbladder Fistula Treated with N-Butyl-2-Cyanoacrylate after Radiofrequency Ablation in a Hepatocellular Carcinoma Patient: a Case Report
- Author:
In Tae SO
1
;
Byoung Kook JANG
;
Jae Seok HWANG
;
Young hwan KIM
Author Information
- Publication Type:Case Report
- Keywords: Hepatocellular carcinoma; Radiofrequency ablation; Fistula; N-butyl-2-cyanoacrylate
- MeSH: Abdominal Pain; Abscess; Anti-Bacterial Agents; Carcinoma, Hepatocellular; Catheter Ablation; Drainage; Enbucrilate; Female; Fistula; Follow-Up Studies; Gallbladder; Hepatitis B, Chronic; Humans; Liver Abscess; Middle Aged; Tomography, X-Ray Computed
- From:Journal of Liver Cancer 2019;19(1):69-73
- CountryRepublic of Korea
- Language:English
- Abstract: Radiofrequency ablation (RFA) is a minimally invasive local therapy for hepatocellular carcinoma (HCC). Even though RFA is considered to be a safe treatment modality, a variety of complications have been reported. Recently, we encountered a case of refractory fistula between a liver abscess and the gallbladder after RFA. A 64-year-old woman diagnosed with HCC associated with chronic hepatitis B was treated by RFA. After RFA, she experienced abdominal pain, and abdominal computed tomography (CT) revealed a liver abscess complicated by a previous treatment of HCC, she was treated with intravenous antibiotics and percutaneous abscess drainage. Follow-up abdominal CT revealed a fistula between the liver abscess and gallbladder, which was successfully treated with percutaneous transcatheter n-butyl-2-cyanoacrylate (NBCA) embolization. We herein report the rare case of a refractory fistula between a liver abscess and the gallbladder after RFA in a patient treated with NBCA embolization.
