Thoracic complications of radiofrequency ablation of recurrent hepatoma.
BACKGROUND
Radiofrequency ablation (RFA) for unresectable primary or secondary hepatic malignancies have gained widespread availability and acceptance over the past 5 years. Complication rates have been reported to range from 0% to 27%.


METHODS
We report a patient with symptomatic right pleural effusion due to a diaphragmatic fistula and another with biliptysis post-RFA, for recurrent hepatoma.


METHODS
Percutaneous drainage of both the pleural effusion and biloma was performed. However, surgical repair of the diaphragmatic fistula was only required for the former for persistent drainage.


RESULTS
Both patients were successfully treated with minimal morbidity.


CONCLUSIONS
High index of suspicion is required for the early diagnosis and treatment of diaphragmatic fistulas. Simple catheter drainage can potentially obviate the need for surgery.
Soon
Jia Lin
JL
Department of Cardiothoracic Surgery, National Heart Centre, Singapore. soon.jia.lin@singhealth.com.sg
Jeyaraj
Prema Raj
PR
Agasthian
T
T
D000328:Adult; D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000601:surgery*; D017115:Catheter Ablation / Q000009:adverse effects*; D003964:Diaphragm / Q000503:physiopathology*; D005402:Fistula / Q000209:etiology; D006801:Humans; D008113:Liver Neoplasms / Q000601:surgery*; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D010996:Pleural Effusion / Q000209:etiology