Bronchobiliary fistula after radiofrequency thermal ablation of hepatic tumor

J Vasc Interv Radiol. 2005 Mar;16(3):407-10. doi: 10.1097/01.RVI.0000150034.77451.6F.

Abstract

A broad spectrum of complications can occur after radiofrequency (RF) ablation of hepatic tumors, even though it has been accepted as a safe and effective technique for unresectable hepatic tumors. Recently, the rare complication of brochobiliary fistula was encountered after RF ablation in a patient with a metastatic tumor from stomach cancer. It was assumed to have developed from collateral damage to the adjacent diaphragm and lung base as well as biloma formation at the ablation zone. Symptomatic improvement was achieved by conservative management with an external drainage catheter, but the fistula was still persistent on a 2-month follow-up image.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / secondary
  • Adenocarcinoma / surgery*
  • Biliary Fistula / diagnosis
  • Biliary Fistula / etiology
  • Biliary Fistula / therapy*
  • Bronchial Fistula / diagnosis
  • Bronchial Fistula / etiology
  • Bronchial Fistula / therapy*
  • Catheter Ablation*
  • Humans
  • Liver Neoplasms / secondary
  • Liver Neoplasms / surgery*
  • Male
  • Middle Aged
  • Radiography, Interventional
  • Stomach Neoplasms / pathology
  • Tomography, X-Ray Computed
  • Ultrasonography, Interventional