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DOI: 10.1055/s-0031-1280658
Radiofrequency Ablation of a Solitary Liver Metastasis Complicated by Colonic Perforation
Publikationsverlauf
Publikationsdatum:
16. Juni 2011 (online)
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ABSTRACT
Radiofrequency ablation is used for the treatment of primary liver malignancies and liver metastases. In this case, the authors performed percutaneous radiofrequency ablation of a solitary esophageal carcinoma metastasis within the left hepatic lobe. Following the procedure, the patient developed a colonic perforation with a large right upper quadrant abscess. Although the abscess nearly resolved after intravenous antibiotics and percutaneous drainage, the patient ultimately developed a colocutaneous fistula that required surgical excision and right hemicolectomy. The risks for developing this complication as well as measures to minimize this risk are discussed.
KEYWORDS
Radiofrequency ablation - liver - thermal injury
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Kent SatoM.D.
Department of Radiology, Northwestern University
676 North St. Clair Street, Suite 800, Chicago, IL 60611
eMail: k-sato@northwestern.edu