Percutaneous portal vein embolization for intractable hepatic biloma after radiofrequency ablation

Jung Guen Cha; Sang Yub Lee; Hun Kyu Ryeom; Jihoon Hong; Won Young Tak; Se Young Jang; Young-Oh Kweon; Soo Young Park; Yu Rim Lee

doi:10.1016/j.ejro.2020.100300

Percutaneous portal vein embolization for intractable hepatic biloma after radiofrequency ablation

Eur J Radiol Open. 2020 Dec 1:7:100300. doi: 10.1016/j.ejro.2020.100300. eCollection 2020.

Authors

Jung Guen Cha¹, Sang Yub Lee¹, Hun Kyu Ryeom¹, Jihoon Hong¹, Won Young Tak², Se Young Jang², Young-Oh Kweon², Soo Young Park², Yu Rim Lee²

Affiliations

¹ Department of Radiology, School of Medicine, Kyungpook National University, 680 Gukchaebosang-ro, Jung-gu, Daegu, 41944, Republic of Korea.
² Department of Internal Medicine, School of Medicine, Kyungpook National University, 680 Gukchaebosang-ro, Jung-gu, Daegu, 41944, Republic of Korea.

Abstract

Intrahepatic biloma is a rare complication of radiofrequency ablation (RFA). When present, it can only be conservatively managed. Here, we report the case of a patient with hepatocellular carcinoma complicated by an intractable biloma after RFA. The biloma could not be managed via percutaneous catheter drainage and antibiotic administration for over 3 months. The intractable biloma was finally cured using percutaneous transhepatic portal vein embolization. The present case demonstrates a useful treatment option for intractable biloma after RFA.

Keywords: Biloma; Hepatocellular carcinoma; Percutaneous catheter drainage; Radiofrequency ablation; Transhepatic portal vein embolization.

Publication types

Case Reports