A case of hemocholecyst associated with hemobilia following radiofrequency ablation therapy for hepatocellular carcinoma

Korean J Hepatol. 2011 Jun;17(2):148-51. doi: 10.3350/kjhep.2011.17.2.148.

Abstract

Radiofrequency ablation (RFA) is performed as an alternative to surgical resection for primary or secondary liver malignancies. Although RFA can be performed safely in most patients, early and late complications related to mechanical or thermal damage occur in 8-9.5% cases. Hemocholecyst, which refers to hemorrhage of the gallbladder, has been reported with primary gallbladder disease or as a secondary event associated with hemobilia. Hemobilia, defined as hemorrhage in the biliary tract and most commonly associated with accidental or iatrogenic trauma, is a rare complication of RFA. Here we report a case of hemocholecyst associated with hemobilia after RFA for hepatocellular carcinoma that was successfully managed by laparoscopic cholecystectomy.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Carcinoma, Hepatocellular / surgery*
  • Catheter Ablation / adverse effects*
  • Cholangiopancreatography, Endoscopic Retrograde
  • Cholecystectomy
  • Gallbladder Diseases / diagnostic imaging
  • Gallbladder Diseases / etiology*
  • Gallbladder Diseases / surgery
  • Hemobilia / diagnosis
  • Hemobilia / etiology*
  • Hemobilia / surgery
  • Hemorrhage / etiology*
  • Humans
  • Liver Neoplasms / surgery*
  • Male
  • Tomography, X-Ray Computed
  • Ultrasonography