The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Hepatocolic Fistula after Radiofrequency Ablation for Hepatocellular Carcinoma

간세포암 치료로 고주파열치료 시행 후 발생한 간대장누공 1예

  • Kang, Min-Gyu (Division of Gastroenterology & Hepatology, Department of Internal Medicine, Konyang University College of Medicine) ;
  • Lee, Tae-Hee (Division of Gastroenterology & Hepatology, Department of Internal Medicine, Konyang University College of Medicine) ;
  • Na, Woon-Tae (Division of Gastroenterology & Hepatology, Department of Internal Medicine, Konyang University College of Medicine) ;
  • Jeong, Ji-Hyun (Division of Gastroenterology & Hepatology, Department of Internal Medicine, Konyang University College of Medicine) ;
  • Lim, Dong-Hyuk (Division of Gastroenterology & Hepatology, Department of Internal Medicine, Konyang University College of Medicine) ;
  • Lee, Mahn (Division of Gastroenterology & Hepatology, Department of Internal Medicine, Konyang University College of Medicine) ;
  • Kang, Young-Woo (Division of Gastroenterology & Hepatology, Department of Internal Medicine, Konyang University College of Medicine)
  • 강민규 (건양대학교 의과대학 소화기내과학교실) ;
  • 이태희 (건양대학교 의과대학 소화기내과학교실) ;
  • 나운태 (건양대학교 의과대학 소화기내과학교실) ;
  • 정지현 (건양대학교 의과대학 소화기내과학교실) ;
  • 임동혁 (건양대학교 의과대학 소화기내과학교실) ;
  • 이만 (건양대학교 의과대학 소화기내과학교실) ;
  • 강영우 (건양대학교 의과대학 소화기내과학교실)
  • Published : 2012.10.01
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Abstract

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.

저자들은 58세 남자 환자에서 간세포암 치료를 위해 고주파 열치료 후 발생한 간농양과 이로 인해 합병된 것으로 추정되는 간대장누공 1예를 경험하고 치료하였기에 문헌고찰과 같이 보고하고자 한다.

Keywords

References

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