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Percutaneous Management of a Bronchobiliary Fistula after Radiofrequency Ablation in a Patient with Hepatocellular Carcinoma
Authors:Dok Hyun Yoon   Ju Hyun Shim   Wook Jin Lee   Pyo Nyun Kim   Ji Hoon Shin     Kang Mo Kim
Affiliation:1Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736, Korea.;2Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736, Korea.
Abstract:Radiofrequency ablation (RFA) is a minimally invasive, image-guided procedure for the treatment of hepatic tumors. While RFA is associated with relatively low morbidity, sporadic bronchobiliary fistulae due to thermal damage may occur after RFA, although the incidence is rare. We describe a patient with a bronchobiliary fistula complicated by a liver abscess that occurred after RFA. This fistula was obliterated after placement of an external drainage catheter into the liver abscess for eight weeks.
Keywords:Bronchobiliary fistula   Radiofrequency ablation   Hepatocellular carcinoma   Liver abscess   Percutaneous drainage
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