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KMID : 0614620110580050270
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Korean Journal of Gastroenterology
2011 Volume.58 No. 5 p.270 ~ p.274
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Abscesso-Colonic Fistula Following Radiofrequency Ablation Therapy for Hepatocellular Carcinoma; A Case Successfully Treated with Histoacryl Embolization
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Kim Ji-Yeon
Kwon Young-Hwan
Lee Sang-Jik
Jang Se-Young
Yang Hae-Min
Jeon Seong-Woo
Kweon Young-Oh
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Abstract
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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.
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KEYWORD
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Carcinoma, Hepatocellular, Radiofrequency catheter ablation, Fistula, Abscess
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