Delayed bronchobiliary fistula and cholangiolithiasis following percutaneous radio frequency ablation for hepatocellular carcinoma

Abstract

Although percutaneous radio frequency ablation for hepatocellular carcinoma is a minimally invasive therapy, there are some complications reported; major complications include hemorrhage (0.477%), hepatic injuries (1.690%), and extrahepatic organ injuries (0.691%). We, for the first time, described a rare complication of delayed bronchobiliary fistula and cholangiolithiasis in common bile duct following radio frequency ablation and the salvage treatment in a patient with chronic hepatitis B virus infection. Surgeons should be aware of severe and rare complications before deciding the ablation area and when performing radio frequency ablation, and should be aware of the relevant salvage treatment.Keywords: Radio frequency ablation, hepatocellular carcinoma, delayed bronchobiliary fistula, cholangiolithiasis, salvage treatment Experimental Biology and Medicine 2015; 240: 156-159.

Endobronchial Watanabe Spigot Placement for Hepatic Abscess and Bronchobiliary Fistula Following Radiofrequency Ablation for Hepatocellular Carcinoma

“…The number of reported cases of BBF associated with RFA has recently increased. Our table shows the clinical features of 10 reported cases and the present case with BBF following RFA for HCC (7)(8)(9)(10)(11)(12)(13)(14)(15). Characteristically, all tumors were located in the subphrenic area.…”

“…There are no standard relevant salvage treatments for a BBF caused by thermal ablation. Because decompression of the intrahepatic biliary tree can suppress reflux of bile into the airway and leads to spontaneous closure of the fistula, endoscopic nasobiliary drainage ( 15 ), percutaneous transhepatic biliary drainage ( 8 , 11 ), and bile duct coil embolization ( 20 ) have been performed to block the bile duct that communicates with the bronchi. Because a subdiaphragmatic abscess was the main issue in the present case, percutaneous transhepatic abscess drainage was performed first.…”

Use heat with caution! Pleurobiliary fistula after hepatocellular carcinoma microwave ablation in lymphoma patient: A case study

“…There have been roughly 16 articles published on TBF following thermal ablation therapy since 2002, according to a literature analysis [ 3 , 4 , 7 , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] ]. The age of these patients ranged from 38 to 76 years.…”

Bronchobiliary fistula following radiofrequency ablation for liver metastases from breast cancer

“…However, open surgery should be the first choice when minimally invasive therapy has failed. [ 6 , 7 ] ENBD is a technique that uses endoscopic insertion of a nasobiliary tube to drain bile so that the fistula is successfully closed in a short time by reducing the pressure of the bile. [ 12 ] Open surgery is often required if the drainage treatments fail.…”