| A Delayed Hepatico-colonic Fistula after Radiofrequency Ablation in Hepatocellular Carcinoma |
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Dong-Jun Lee, Myung Eun Song, Jun Yong Park, Sang Hoon Ahn, Kwang Hyub Han, Do Young Kim |
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Department of Internal Medicine and Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, Korea |
| 고주파절제술 후 발생한 지연성 간농양-횡행결장 누공 1예 |
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이동준, 송명은, 박준용, 안상훈, 한광협, 김도영 |
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연세대학교 의과대학 내과학교실, 소화기병연구소 |
Correspondence:
Do Young Kim, Tel: +82-2-2228-1992, Fax: +82-2-393-6884, Email: DYK1025@yuhs.ac
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Received: 27 January 2014 • Revised: 21 February 2014 • Accepted: 28 February 2014 |
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| This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| Abstract |
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Percutaneous radiofrequency thermal ablation (RFA) performed under ultrasound guidance is a safe, effective therapeutic modality for managing liver malignancies. Although surgical resection remains the treatment of choice for hepatocellular carcinoma (HCC), RFA has emerged as a reliable alternative. Potential complications of RFA include liver abscess, ascites, pleural effusion, skin burns, hypoxemia, pneumothorax, subcapsular hematoma, hemoperitoneum, liver failure, tumor seeding, and biliary lesions. Here, we report a rare complication after RFA for HCC: a delayed liver abscess and transverse colonic fistula. The patient was treated successfully with percutaneous abscess drainage, antibiotics, liver segmentectomy, and segmental resection of the fistula and involved colon. Due to its rarity, we report this case and review the literature. (Korean J Med 2014;86:722-727) |
| Key Words:
Carcinoma, Hepatocellular; Radiofrequency catheter ablation; Fistula; Abscess |
| 주제어:
간세포암; 고주파 열치료; 누공; 간농양 |
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