| Autor: |
Jia Lin Soon, Prema Raj Jeyaraj, T Agasthian |
| Rok vydání: |
2008 |
| Předmět: |
|
| Zdroj: |
Annals of the Academy of Medicine, Singapore. 37(1) |
| ISSN: |
0304-4602 |
| Popis: |
Introduction: Radiofrequency ablation (RFA) for unresectable primary or secondary hepatic malignancies have gained widespread availability and acceptance over the past 5 years. Complication rates have been reported to range from 0% to 27%. Clinical Picture: We report a patient with symptomatic right pleural effusion due to a diaphragmatic fistula and another with biliptysis post-RFA, for recurrent hepatoma. Treatment: Percutaneous drainage of both the pleural effusion and biloma was performed. However, surgical repair of the diaphragmatic fistula was only required for the former for persistent drainage. Outcome: Both patients were successfully treated with minimal morbidity. Conclusion: High index of suspicion is required for the early diagnosis and treatment of diaphragmatic fistulas. Simple catheter drainage can potentially obviate the need for surgery. Key words: Cancer, Diaphragm, Fistula |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
|
