Endobronchial Watanabe Spigot Placement for Hepatic Abscess and Bronchobiliary Fistula Following Radiofrequency Ablation for Hepatocellular Carcinoma

Autor:	Toshihiko, Nishioki, Ryo, Koyama, Hironao, Okubo, Yuka, Fukuo, Yusuke, Takasaki, Toshifumi, Yae, Takamitsu, Banno, Kenji, Kido, Kazuhisa, Takahashi, Shuichiro, Shiina, Kenichi, Ikejima
Rok vydání:	2023
Předmět:	Internal Medicine General Medicine
Zdroj:	Internal Medicine. 62:999-1004
ISSN:	1349-7235 0918-2918
Popis:	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.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5ed20acbd2f1869d3e63eefa657e9773 https://doi.org/10.2169/internalmedicine.0392-22 Zobrazit plný text záznamu