Korean J Gastroenterol.  2008 Mar;51(3):199-203.

Biliary-duodenal Fistula Following Radiofrequency Ablation Therapy for Hepatocellular Carcinoma

• Park SG
• Park SJ
• Koo HS
• Park SW
• Park ET
• Lee YJ
• Lee SH
• Seol SY

Abstract

Hepatocellular carcinoma (HCC) is one of the most common malignant neoplasms occuring worldwide. Surgical resection currently provides the best chance of long-term tumor free survival, but the most HCCs are not candidates for surgical excision due to poor liver function or poor medical background. Numerous noninvasive alternatives to surgical resection have been introduced to treat liver cancers. Radiofrequency thermal ablation has begun to receive much attention as an effective and minimally invasive technique for the local control of HCC. The biliary system related complications after radiofrequency ablation has rarely been reported. We report a case of biliary-duodenal fistula with liver abscess after radiofrequency ablation for HCC. The case was treated by abscess drainage and antibiotics.

Keyword

Hepatocellular carcinoma; Radiofrequency ablation; Biliary-duodenal fistula

MeSH Terms

Biliary Fistula/*diagnosis/etiology
Carcinoma, Hepatocellular/diagnosis/*surgery
Catheter Ablation/*adverse effects
Duodenal Diseases/*diagnosis/etiology
Duodenal Obstruction/diagnosis
Female
Humans
Intestinal Fistula/*diagnosis/etiology
Liver Neoplasms/diagnosis/*surgery
Middle Aged
Tomography, X-Ray Computed