| Fatal bile pulmonary embolism after radiofrequency treatment of a hepatocellular carcinoma. | |
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MedLine Citation:
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PMID: 14973755 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Radiofrequency is increasingly used to manage liver tumors. This report describes the case of a 74-year-old man who received two courses of percutaneous radiofrequency thermal ablation for a hepatocellular carcinoma over a 4-month period. He subsequently required computed tomography-guided drainage for an area of intrahepatic necrosis. During the procedure, hemobilia developed, followed by respiratory distress and collapse. The diagnosis of bile pulmonary embolism was established on the basis of high biliary acid concentrations in pulmonary fluid aspiration and blood plasma. Radiofrequency thermoablation provides local control of advanced liver tumors with low recurrence and morbidity. However, this interventional procedure risks damage to liver parenchyma involving vascular and biliary structures, which may lead to biliary-venous fistula and possible bile emboli. |
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Authors:
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C Schmidt-Mutter; T Breining; A Gangi; E Canela; I Jourdan; D Mutter; J-P Dupeyron |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2003-10-28 |
Journal Detail:
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Title: Surgical endoscopy Volume: 17 ISSN: 1432-2218 ISO Abbreviation: Surg Endosc Publication Date: 2003 Dec |
Date Detail:
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Created Date: 2004-02-19 Completed Date: 2004-07-14 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8806653 Medline TA: Surg Endosc Country: Germany |
Other Details:
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Languages: eng Pagination: 2028-31 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology and Intensive Care, Hôpital Civil, Hôpitaux Universitaires, 1 Place de l'Hôpital, 67091 Strasbourg Cedex, France. catherine.mutter@chru-strasbourg.fr |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Anuria / etiology Bile* Bile Ducts, Intrahepatic / injuries*, radiography Biliary Fistula / etiology Carcinoma, Hepatocellular / complications, surgery* Catheter Ablation / adverse effects* Drainage / adverse effects Fatal Outcome Hemobilia / etiology Humans Intraoperative Complications / etiology Liver / injuries, radiography Liver Neoplasms / complications, surgery* Male Postoperative Complications / etiology Pulmonary Embolism / etiology* Punctures / adverse effects* Radiography, Interventional Respiratory Distress Syndrome, Adult / etiology Tomography, X-Ray Computed Vascular Fistula / etiology |
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