Endobronchial Watanabe Spigot Placement for Hepatic Abscess and Bronchobiliary Fistula Following Radiofrequency Ablation for Hepatocellular Carcinoma.
Intern Med
; 62(7): 999-1004, 2023 Apr 01.
Article
en En
| MEDLINE
| ID: mdl-35945018
ABSTRACT
A bronchobiliary fistula (BBF) is an uncommon but severe complication after radiofrequency ablation (RFA). However, the definitive salvage methods are controversial. We herein report a patient with hepatocellular carcinoma with hepatic abscess and BBF following RFA. We also review previous reports of BBF after RFA. The patient was a man in his 70s who underwent RFA for recurrent hepatocellular carcinoma in the subphrenic area. Despite percutaneous transhepatic abscess drainage, bilioptysis persisted. Finally, the BBF was occluded with an endobronchial Watanabe spigot under fiber-optic bronchoscopy. Placing an endobronchial Watanabe spigot should be considered as a salvage therapy for refractory BBF following RFA.
Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Fístula Biliar
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Fístula Bronquial
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Ablación por Catéter
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Carcinoma Hepatocelular
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Ablación por Radiofrecuencia
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Absceso Hepático
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Neoplasias Hepáticas
Límite:
Humans
/
Male
Idioma:
En
Revista:
Intern Med
Asunto de la revista:
MEDICINA INTERNA
Año:
2023
Tipo del documento:
Article
País de afiliación:
Japón