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Complete radiofrequency ablation of hepatolithiasis-associated cholangiocarcinoma and successful management of post-ablation bronchobiliary fistula.
- Source :
-
Cell biochemistry and biophysics [Cell Biochem Biophys] 2014 Apr; Vol. 68 (3), pp. 555-9. - Publication Year :
- 2014
-
Abstract
- This report documented the use of radiofrequency ablation (RFA) in the treatment of hepatolithiasis-associated cholangiocarcinoma and cyanoacrylate glue in the management of post-ablation bronchobiliary fistula. A 47-year-old Chinese woman with 20 years history of extrahepatic and intrahepatic cholangiolithiasis and multiple hepatic segmentectomy, developed hepatolithiasis-associated cholangiocarcinoma. The tumor was successfully treated with RFA but patient developed bronchobiliary fistula. Cyanoacrylate glue was used for occluding the bronchobiliary fistula. CT scan at 3 months showed complete restoration of physiological separation between the biliary and bronchial system. Repeat CT scan showed complete tumor ablation with no signs of tumor recurrence 10 months after RFA. In conclusion, RFA may be a safe and effective treatment option for patients with hepatolithiasis-associated cholangiocarcinoma who are poor candidates for surgical resection. Protection of the integrity of the bile duct and diaphragm during RFA can minimize postoperative complications. In case of development of post-ablation bronchobiliary fistula, cyanoacrylate glue can be used to occlude the fistula, before surgical resection is considered.
- Subjects :
- Bile Duct Neoplasms complications
Biliary Tract Diseases etiology
Bronchial Fistula etiology
Cholangiocarcinoma complications
Female
Humans
Liver Diseases complications
Middle Aged
Postoperative Complications etiology
Postoperative Complications prevention & control
Bile Duct Neoplasms surgery
Bile Ducts, Intrahepatic surgery
Biliary Tract Diseases prevention & control
Bronchial Fistula prevention & control
Catheter Ablation
Cholangiocarcinoma surgery
Gallstones complications
Subjects
Details
- Language :
- English
- ISSN :
- 1559-0283
- Volume :
- 68
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Cell biochemistry and biophysics
- Publication Type :
- Academic Journal
- Accession number :
- 23979984
- Full Text :
- https://doi.org/10.1007/s12013-013-9737-y