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- Title
Perforation of the esophagus due to thermal injury after laparoscopic radiofrequency ablation for hepatocellular carcinoma: a case for caution.
- Authors
Yamane, Taishi; Imai, Katsunori; Umezaki, Naoki; Yamao, Takanobu; Kaida, Takayoshi; Nakagawa, Shigeki; Yamashita, Yo-ichi; Chikamoto, Akira; Ishiko, Takatoshi; Baba, Hideo
- Abstract
Background: Several reported complications associated with radiofrequency ablation for liver tumors are due to thermal damage of neighboring organs. We herein report a first case of esophageal perforation due to thermal injury of laparoscopic radiofrequency ablation (RFA).Case presentation: A 75-year-old woman was treated repeatedly with RFA (percutaneous and laparoscopic) and transcatheter arterial chemoembolization for hepatocellular carcinoma. One week after laparoscopic RFA for recurrent HCC located in segment 2 of the liver, dysphagia and thoracic pain occurred. Upper gastrointestinal endoscopy revealed a perforated esophageal ulcer at the esophago-gastric junction. Inflammation was localized because of severe intra-abdominal adhesion due to repeat surgery, so we decided to treat the patient conservatively. The perforation of the esophagus gradually scarred, and exacerbation did not occur after restarting oral intake.Conclusions: When patients with a history of abdominal surgery or intra-abdominal inflammation undergo thermal ablation therapy, caution is required, as there is a possibility of thermal injury of unexpected organs.
- Subjects
LIVER tumors; TUMOR treatment; LIVER cancer; CATHETER ablation; LAPAROSCOPIC surgery complications; CHEMOEMBOLIZATION
- Publication
Surgical Case Reports, 2018, Vol 4, Issue 1, p1
- ISSN
2198-7793
- Publication type
Case Study
- DOI
10.1186/s40792-018-0534-0