[A patient who developed diaphragmatic hernia 20 months after percutaneous radiofrequency ablation for hepatocellular carcinoma].
A 50-year-old man underwent radiofrequency ablation (RFA) for a hepatocellular carcinoma, located in the S8 area adjacent to the diaphragm. 20 months later, he was admitted because of severe right hypochondralgia and dyspnea. Computed tomography revealed a prolapsed large intestine through a defect on the right diaphragm, and emergency surgery was performed. Patients who have undergone RFA for a hepatic tumor adjacent to the diaphragm should be carefully followed up for possible diaphragmatic hernia, even after a long postoperative interval.
Nawa
Takatoshi
T
Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine.
Mochizuki
Kiyoshi
K
Yakushijin
Takayuki
T
Hamano
Mina
M
Itose
Ichiyo
I
Egawa
Satoshi
S
Nishida
Tsutomu
T
Tsutsui
Syusaku
S
Hiramatsu
Naoki
N
Kanto
Tatsuya
T
Takehara
Tetsuo
T
Hayashi
Norio
N
D006528:Carcinoma, Hepatocellular / Q000601:surgery*; D017115:Catheter Ablation / Q000009:adverse effects*; D006548:Hernia, Diaphragmatic / Q000209:etiology*; D006801:Humans; D008113:Liver Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged