Korean J Gastroenterol.  2002 Jun;39(6):432-436.

Biliary Fistula Developed after Radiofrequency Ablation Therapy for Hepatocellular Carcinoma

Affiliations
  • 1Department of Internal Medicine, Soon Chun Hyang University College of Medicine, Seoul, Korea. schidr@hosp.sch.ac.kr
  • 2Department of Institute for Digestive Research, Soon Chun Hyang University College of Medicine, Seoul, Korea.

Abstract

Surgical resection is considered as the gold standard treatment of hepatic malignancy. The majority of primary and metastatic tumors of the liver are not treated by surgical excision in the case of poor liver function or poor medical background. Numerous noninvasive alternatives to surgical resection have been used to treat liver tumors. Radiofrequency ablation has recently been accepted as a new modality for local tumor destruction, especially for tumor larger than 3 cm. The biliary system related complications after radiofrequency ablation is rarely reported. Recently, we experienced a case of biliary fistula developed after radiofrequency ablation therapy for a hepatocellular carcinoma. The case was treated by endoscopic retrograde biliary stent insertion. We report the case of biliary fistula developed after radiofrequency ablation therapy with a brief review of related literature.

Keyword

Radiofrequency ablation; Hepatocellular carcinoma; Bile duct fistula

MeSH Terms

Biliary Fistula*
Biliary Tract
Carcinoma, Hepatocellular*
Catheter Ablation*
Liver
Stents
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