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Ann Surg Treat Res.  2014 Jul;87(1):41-43. 10.4174/astr.2014.87.1.41.

Delayed hepatic rupture after radiofrequency ablation for colorectal hepatic metastasis: management with transcatheter arterial embolization

Affiliations
  • 1Department of Radiology, Konkuk University School of Medicine, Seoul, Korea. yjkim@kuh.ac.kr
  • 2Department of Surgery, Konkuk University School of Medicine, Seoul, Korea.

Abstract

Intraperitoneal bleeding after radiofrequency ablation (RFA) is the most common major vascular complication due to direct needle injury to a vessel or liver capsule. However, intraperitoneal bleeding as a result of a delayed hepatic rupture after RFA for liver tumors is an extremely rare complication. The present report describes a case of intraperitoneal hemorrhage caused by delayed hepatic rupture resulting from arterioportal fistula after RFA for hepatic metastasis from colorectal cancer and successful management using transcatheter embolization.

Keyword

Liver; Colorectal neoplasms; Pulsed radiofrequency treatment; Therapeutic embolization

MeSH Terms

Catheter Ablation*
Colorectal Neoplasms
Embolization, Therapeutic
Fistula
Hemorrhage
Liver
Needles
Neoplasm Metastasis*
Pulsed Radiofrequency Treatment
Rupture*
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