Diaphragmatic necrosis after radiofrequency ablation of hepatocellular carcinoma: A successful surgical repair
| Autor: | Dominique Blaison, Jean-Claude Trinchet, Pierre Nahon, Frederic Kanso, Michel Beaugrand, Emmanuel Martinod, Olivier Seror |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Carcinoma Hepatocellular Radiofrequency ablation Diaphragm Liver Abscess Diaphragmatic breathing Physical examination Surgical Flaps law.invention Necrosis Sphincterotomy Endoscopic law Humans Medicine Aged Surgical repair Hepatology medicine.diagnostic_test business.industry Liver Neoplasms Gastroenterology medicine.disease Surgery body regions medicine.anatomical_structure Hepatocellular carcinoma Catheter Ablation Sphincter business Complication Liver abscess |
| Zdroj: | Clinics and Research in Hepatology and Gastroenterology. 37:e59-e63 |
| ISSN: | 2210-7401 |
| DOI: | 10.1016/j.clinre.2012.09.011 |
| Popis: | We report a case of complete hemidiaphragmatic necrosis with liver abscess complicating radiofrequency ablation of a large subdiaphragmatic hepatocellular carcinoma in a patient with unrecognized history of endoscopic oddi sphincterotomy. At 2-year follow-up after surgical repair using a pedicled latissimus dorsi flap, clinical examination and imaging did not show complication or cancer recurrence. The risk of complete hemidiaphragmatic necrosis resulting from both thermal and septic injuries should be considered when radiofrequency ablation is performed for liver dome tumors, particularly in patients with impaired oddi sphincter. In this septic situation, a latissimus dorsi flap appears as the unique opportunity to repair the injured hemidiaphragm. |
| Databáze: | OpenAIRE |
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