[Abscesso-colonic fistula following radiofrequency ablation therapy for hepatocellular carcinoma; a case successfully treated with histoacryl embolization]

Korean J Gastroenterol. 2011 Nov 25;58(5):270-4. doi: 10.4166/kjg.2011.58.5.270.
[Article in Korean]

Abstract

Hepatocellular carcinoma (HCC) is one of the most common malignant neoplasms occuring worldwide. Although surgical resection still remains the treatment of choice for HCC, radiofrequency ablation (RFA) has emerged as reliable alternatives to resection. It is less invasive and can be repeated after short intervals for sequential ablation in case of multiple lesions. The most common complication of RFA is liver abscess, and bile duct injury such as bile duct stricture has been reported. This is a case report of a rare complication of abscesso-colonic fistula after RFA for HCC. The case was treated by percutaneous abscess drainage and antibiotics and occlusion of abscesso-colonic fistula with n-butyl-2-cyanoacrylate embolization.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anti-Bacterial Agents / therapeutic use
  • Carcinoma, Hepatocellular / diagnosis
  • Carcinoma, Hepatocellular / surgery*
  • Catheter Ablation / adverse effects*
  • Colonic Diseases / etiology
  • Colonic Diseases / therapy*
  • Drainage
  • Embolization, Therapeutic
  • Enbucrilate / therapeutic use*
  • Humans
  • Intestinal Fistula / etiology
  • Intestinal Fistula / therapy*
  • Liver Abscess / diagnostic imaging
  • Liver Abscess / etiology
  • Liver Neoplasms / diagnosis
  • Liver Neoplasms / surgery*
  • Male
  • Pseudomonas aeruginosa / isolation & purification
  • Tomography, X-Ray Computed
  • Ultrasonography

Substances

  • Anti-Bacterial Agents
  • Enbucrilate