Korean J Gastroenterol.  1999 Sep;34(3):411-416.

Cutaneobiliary Fistula Complicated after Percutaneous Microwave Coagulation Therapy in a Patients with Hepatocellular Carcinoma

• Sun HS
• Han JY
• Kim JK
• Choi H
• Moon SB
• Kim DB
• Rhim DJ
• Lee IS
• Lee DG
• Hahn ST

Abstract

Small hepatocellular carcinoma (HCC) can be treated by surgery, transarterial chemoembolization (TACE), percutaneous ethanol injection (PEI) and percutaneous microwave coagulation therapy (PMCT). However, surgical resection is not a viable option for all patients due to poor liver function. Furthermore, TACE is sometimes ineffective because of inadequate angiogenesis in small HCC. PEI does not always bring complete necrosis of the tumor because of inhomogeneous distribution within the tumor. PMCT heats tissue by molecular vibration of water in tissue, and induces thermal coagulation. Regardless of the presence of a capsule, PMCT is the most reliable method in inducing tissue coagulation. Slight pain, mild fever, transient elevation of liver enzyme, subcutaneous hematoma, ascites, pleural effusion and tumor seeding can be developed after PMCT. We report a case of .cutaneobiliary fistula complicated after PMCT with a review of literatures.

Keyword

Percutaneous microwave coagulation therapy; Cutaneobiliary fistula

MeSH Terms

Ascites
Carcinoma, Hepatocellular*
Ethanol
Fever
Fistula*
Hematoma
Hot Temperature
Humans
Liver
Microwaves*
Necrosis
Pleural Effusion
Vibration
Ethanol