首页 | 本学科首页   官方微博 | 高级检索  
     


ENDOSCOPIC MANAGEMENT OF BILIOCUTANEOUS FISTULA AFTER PERCUTANEOUS RADIOFREQUENCY ABLATION THERAPY FOR HEPATOCELLULAR CARCINOMA
Authors:Takeshi Tsujino  Naoki Sasahira  Kenji Hirano  Ryosuke Tateishi  Hiroyuki Isayama  Minoru Tada  Shuichiro Shiina  Haruhiko Yoshida  Takao Kawabe  Masao Omata
Affiliation:1. Departments of Gastroenterology and;2. Endoscopy and Endoscopic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan
Abstract:Our patient was a 70‐year‐old man with hepatocellular carcinoma (HCC) and liver cirrhosis (Child–Pugh B). He had a history of distal gastrectomy with Billroth II reconstruction for duodenal ulcer and hepatectomy for HCC. One month after percutaneous radiofrequency ablation (RFA) for recurrent HCC, biliocutaneous fistula was observed. The cholangiogram demonstrated leakage of contrast material from an intrahepatic duct into the fistula, and a nasobiliary catheter was placed. Subsequently, the discharge of bile steadily decreased and stopped. Follow‐up cholangiogram revealed no evidence of bile leakage. Biliocutaneous fistula is an extremely rare complication after percutaneous RFA, and the present case report suggests that endoscopic drainage is the first‐line therapy for bile leaks after RFA.
Keywords:biliocutaneous fistula  endoscopic biliary drainage  radiofrequency ablation
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号