[Chologenic abscess after radiofrequency ablation of a cholangiocellular carcinoma].
METHODS
Persistent fever occurred after palliative radiofrequency thermal ablation (RFTA) of a solitary liver metastasis in a 62-year-old patient with cholangiocarcinoma treated by cholecystectomy, lymph-adenectomy, resection of the ductus hepatocholedochus and biliodigestive anastomosis.


METHODS
Tests for inflammatory disease were elevated. Sonography revealed an echo-free lesion in the region of the previous RFTA. Percutaneous drainage produced purulent material.


METHODS
The liver abscess communicating with the bile duct system was drained and treated with antibiotics.


CONCLUSIONS
A liver abscess is a rare complication of RFTA. A preexisting biliodigestive anastomosis may be an independent risk factor for this rare complication.
Abteilung für Innere Medizin II, Medizinische Universitätsklinik Freiburg. Zuber@med1.ukl.uni-freiburg.de
I
I
Zuber-Jerger
H E
HE
Blum
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001650:Bile Duct Neoplasms / Q000601:surgery*; D001653:Bile Ducts, Intrahepatic; D017115:Catheter Ablation; D018281:Cholangiocarcinoma / Q000601:surgery*; D002763:Cholecystectomy; D004322:Drainage; D006801:Humans; D008100:Liver Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011859:Radiography; D013997:Time Factors; D014463:Ultrasonography
D000900:Anti-Bacterial Agents