간세포암 치료로 고주파열치료 시행 후 발생한 간대장누공 1예 (Hepatocolic Fistula after Radiofrequency Ablation for Hepatocellular Carcinoma)

서지정보

· 발행기관 : 대한내과학회
· 수록지 정보 : 대한내과학회지 / 83권 / 4호 / 480 ~ 484페이지
· 저자명 : 강민규, 이태희, 나운태, 정지현, 임동혁, 이만, 강영우

초록

저자들은 58세 남자 환자에서 간세포암 치료를 위해 고주파 열치료 후 발생한 간농양과 이로 인해 합병된 것으로 추정되는 간대장누공 1예를 경험하고 치료하였기에 문헌고찰과 같이 보고하고자 한다.

영어초록

Radiofrequency ablation (RFA) is a relatively safe therapy for patients with hepatocellular carcinoma (HCC); however, complications are not unknown. A hepatocolic fistula is a rare complication after RFA. We report a case of a hepatocolic fistula following a liver abscess after RFA for HCC in a 58-year-old male. The patient was diagnosed with HCC and liver cirrhosis from hepatitis B infection 3 years prior to admission. The HCC was in segment 6 of the liver and was treated with transarterial chemoembolization and RFA. One month after the second RFA, he was diagnosed with a liver abscess, for which he was treated with antibiotics for 2 months, but continued to have intermittent fever and chills. We made a diagnosis of hepatocolic fistula using colonoscopy, fluoroscopy, and liver dynamic computed tomography. The patient underwent a surgical procedure after antibiotic therapy. Although a hepatocolic fistula is a rare complication following RFA, clinicians should be aware of its existence. (Korean J Med 2012;83:480-484)

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