Bronchobiliary fistula after radiofrequency thermal ablation of hepatic tumor.
A broad spectrum of complications can occur after radiofrequency (RF) ablation of hepatic tumors, even though it has been accepted as a safe and effective technique for unresectable hepatic tumors. Recently, the rare complication of brochobiliary fistula was encountered after RF ablation in a patient with a metastatic tumor from stomach cancer. It was assumed to have developed from collateral damage to the adjacent diaphragm and lung base as well as biloma formation at the ablation zone. Symptomatic improvement was achieved by conservative management with an external drainage catheter, but the fistula was still persistent on a 2-month follow-up image.
Kim
Young-Sun
YS
Department of Diagnostic Radiology, College of Medicine, Hanyang University, 17 Haengdang-dong, Sungdong-Gu, Seoul 133-792, Korea.
Rhim
Hyunchul
H
Sung
Jung Hwan
JH
Kim
Sung Kyu
SK
Kim
Yongsoo
Y
Koh
Byung Hee
BH
Cho
On Koo
OK
Kwon
Sung-Joon
SJ
D000230:Adenocarcinoma / Q000556:secondary / Q000601:surgery*; D001658:Biliary Fistula / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D001983:Bronchial Fistula / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D017115:Catheter Ablation; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D015641:Radiography, Interventional; D013274:Stomach Neoplasms / Q000473:pathology; D014057:Tomography, X-Ray Computed; D018084:Ultrasonography, Interventional