Use heat with caution! Pleurobiliary fistula after hepatocellular carcinoma microwave ablation in lymphoma patient: A case study
Thermal ablation by microwave ablation (MWA) or radiofrequency ablation (RFA) is a frequently used technique for hepatic lesion treatment due to its low rate of complications. Surgery, transarterial chemoembolization (TACE), and yttrium-90 (Y-90) transarterial radioembolization (TARE) are other ways...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-10-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322006483 |
| _version_ | 1828356297650601984 |
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| author | Etedal Abdurabuh, MBBS Mutaz Khairo, MBBS Aquib Bakhsh, MBBS May Alsharif, MBBS Wael AlYamani, MBBS |
| author_facet | Etedal Abdurabuh, MBBS Mutaz Khairo, MBBS Aquib Bakhsh, MBBS May Alsharif, MBBS Wael AlYamani, MBBS |
| author_sort | Etedal Abdurabuh, MBBS |
| collection | DOAJ |
| description | Thermal ablation by microwave ablation (MWA) or radiofrequency ablation (RFA) is a frequently used technique for hepatic lesion treatment due to its low rate of complications. Surgery, transarterial chemoembolization (TACE), and yttrium-90 (Y-90) transarterial radioembolization (TARE) are other ways to treat hepatic lesions. Thoracobiliary fistula (TBF) is a rare side effect of thermal ablation. Other side effects include vascular injury, damage to the biliary system, and infection. We present the case of a 62-year-old male patient who has a history of lymphoma and was diagnosed with a hepaticellular carcinoma lesion on follow-up CT in segment VII, which appeared in close relation to the right diaphragm. The patient had been through several interventional procedures, including Y-90 therapy, TACE, and MWA with thermal impact, which resulted in a biloma forming and ramping up the progression of pleurobiliary fistula, which is confirmed by HIDA scan, this case highlights the significance of monitoring patients after thermal ablation, particularly in cases of large justa-diaphragmatic tumors, to detect any diaphragmatic or biliary tree injuries. |
| first_indexed | 2024-04-14T02:55:50Z |
| format | Article |
| id | doaj.art-767fa1cb369e40119382258ab2a67ba3 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-14T02:55:50Z |
| publishDate | 2022-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-767fa1cb369e40119382258ab2a67ba32022-12-22T02:16:05ZengElsevierRadiology Case Reports1930-04332022-10-01171038713876Use heat with caution! Pleurobiliary fistula after hepatocellular carcinoma microwave ablation in lymphoma patient: A case studyEtedal Abdurabuh, MBBS0Mutaz Khairo, MBBS1Aquib Bakhsh, MBBS2May Alsharif, MBBS3Wael AlYamani, MBBS4Department of Radiology, Al Noor Specialist Hospital, Makkah, Saudi Arabia; Corresponding author.Department of Radiology, King Abdullah Medical City (KAMC), Makkah, Saudi ArabiaDepartment of Radiology, King Abdullah Medical City (KAMC), Makkah, Saudi ArabiaDepartment of Radiology, King Abdullah Medical City (KAMC), Makkah, Saudi ArabiaDepartment of Radiology, King Abdullah Medical City (KAMC), Makkah, Saudi ArabiaThermal ablation by microwave ablation (MWA) or radiofrequency ablation (RFA) is a frequently used technique for hepatic lesion treatment due to its low rate of complications. Surgery, transarterial chemoembolization (TACE), and yttrium-90 (Y-90) transarterial radioembolization (TARE) are other ways to treat hepatic lesions. Thoracobiliary fistula (TBF) is a rare side effect of thermal ablation. Other side effects include vascular injury, damage to the biliary system, and infection. We present the case of a 62-year-old male patient who has a history of lymphoma and was diagnosed with a hepaticellular carcinoma lesion on follow-up CT in segment VII, which appeared in close relation to the right diaphragm. The patient had been through several interventional procedures, including Y-90 therapy, TACE, and MWA with thermal impact, which resulted in a biloma forming and ramping up the progression of pleurobiliary fistula, which is confirmed by HIDA scan, this case highlights the significance of monitoring patients after thermal ablation, particularly in cases of large justa-diaphragmatic tumors, to detect any diaphragmatic or biliary tree injuries.http://www.sciencedirect.com/science/article/pii/S1930043322006483Pleurobiliary fistulaHepatocellular carcinomaMicrowave ablationLymphoma |
| spellingShingle | Etedal Abdurabuh, MBBS Mutaz Khairo, MBBS Aquib Bakhsh, MBBS May Alsharif, MBBS Wael AlYamani, MBBS Use heat with caution! Pleurobiliary fistula after hepatocellular carcinoma microwave ablation in lymphoma patient: A case study Radiology Case Reports Pleurobiliary fistula Hepatocellular carcinoma Microwave ablation Lymphoma |
| title | Use heat with caution! Pleurobiliary fistula after hepatocellular carcinoma microwave ablation in lymphoma patient: A case study |
| title_full | Use heat with caution! Pleurobiliary fistula after hepatocellular carcinoma microwave ablation in lymphoma patient: A case study |
| title_fullStr | Use heat with caution! Pleurobiliary fistula after hepatocellular carcinoma microwave ablation in lymphoma patient: A case study |
| title_full_unstemmed | Use heat with caution! Pleurobiliary fistula after hepatocellular carcinoma microwave ablation in lymphoma patient: A case study |
| title_short | Use heat with caution! Pleurobiliary fistula after hepatocellular carcinoma microwave ablation in lymphoma patient: A case study |
| title_sort | use heat with caution pleurobiliary fistula after hepatocellular carcinoma microwave ablation in lymphoma patient a case study |
| topic | Pleurobiliary fistula Hepatocellular carcinoma Microwave ablation Lymphoma |
| url | http://www.sciencedirect.com/science/article/pii/S1930043322006483 |
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