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KMID : 0882420120830040480
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Korean Journal of Medicine
2012 Volume.83 No. 4 p.480 ~ p.484
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Hepatocolic Fistula after Radiofrequency Ablation for Hepatocellular Carcinoma
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Kang Min-Gyu
Lee Tae-Hee
Na Woon-Tae
Jeong Ji-Hyun
Lim Dong-Hyuk
Lee Mahn
Kang Young-Woo
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Abstract
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Radiofrequency ablation (RFA) is a relatively safe therapy for patients with hepatocellular carcinoma (HCC); however, complications are not unknown. A hepatocolic fistula is a rare complication after RFA. We report a case of a hepatocolic fistula following a liver abscess after RFA for HCC in a 58-year-old male. The patient was diagnosed with HCC and liver cirrhosis from hepatitis B infection 3 years prior to admission. The HCC was in segment 6 of the liver and was treated with transarterial chemoembolization and RFA. One month after the second RFA, he was diagnosed with a liver abscess, for which he was treated with antibiotics for 2 months, but continued to have intermittent fever and chills. We made a diagnosis of hepatocolic fistula using colonoscopy, fluoroscopy, and liver dynamic computed tomography. The patient underwent a surgical procedure after antibiotic therapy. Although a hepatocolic fistula is a rare complication following RFA, clinicians should be aware of its existence.
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KEYWORD
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Hepatic abscess, Hepatocolic fistula, Radiofrequency ablation
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