Thoracic complications of radiofrequency ablation of recurrent hepatoma

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Abstract

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.

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Jia, L. S., Jeyaraj, P. R., & Agasthian, T. (2008). Thoracic complications of radiofrequency ablation of recurrent hepatoma. Annals of the Academy of Medicine Singapore, 37(1), 75–76. https://doi.org/10.47102/annals-acadmedsg.v37n1p75

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