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http://dx.doi.org/10.3904/kjm.2012.83.4.480

Hepatocolic Fistula after Radiofrequency Ablation for Hepatocellular Carcinoma  

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)
Publication Information
The Korean Journal of Medicine / v.83, no.4, 2012 , pp. 480-484 More about this Journal
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.
Keywords
Hepatic abscess; Hepatocolic fistula; Radiofrequency ablation;
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