Late-onset diaphragmatic hernia after percutaneous radiofrequency ablation of hepatocellular carcinoma: a case study
| Autor: | Tatsunari Sasada, Hironobu Amano, Nobuaki Fujikuni, Tomoyuki Abe, Hitomi Takechi, Makoto Yoshida, Masahiro Nakahara, Toshio Noriyuki, Minoru Yamaki |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Percutaneous Diaphragmatic hernia Radiofrequency ablation Hepatocellular carcinoma Diaphragmatic breathing Case Report law.invention 03 medical and health sciences 0302 clinical medicine law medicine Hernia Transcatheter arterial chemoembolization business.industry Transverse colon medicine.disease digestive system diseases Surgery surgical procedures operative 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Radiology Complication business therapeutics |
| Zdroj: | Surgical Case Reports |
| ISSN: | 2198-7793 |
| Popis: | Percutaneous radiofrequency ablation (RFA) is widely used as an effective treatment of liver tumors. Several reported complications associated with RFA are due to thermal damage of neighboring organs. The present report presents a case of diaphragmatic hernia associated with RFA and hepatocellular carcinoma (HCC). A 72-year-old woman with S5 and S8 HCCs was treated repeatedly with RFA and transcatheter arterial chemoembolization for 3 years. After the third course of RFA to target the recurring S5 HCC, acute abdominal pain and dyspnea suddenly occurred. Contrast-enhanced computed tomography revealed intrusion of the transverse colon through the right diaphragmatic hernia. In addition, the colon was dilated and showed changes suggestive of ischemic conditions. An emergency surgery was performed to close the hernia by using non-absorbable sutures to preserve the colon. The patient was discharged without any complications 13 days after the surgery. The first-line treatment of this disease involves surgical intervention. Diaphragmatic hernia is a rare complication of RFA. The present case suggests that patients who undergo several rounds of RFA require surveillance for diaphragmatic hernias. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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