病例报告。自发性胆囊结肠瘘和局部肝肿瘤消融：一个警示故事。
Case report. Spontaneous cholecystocolic fistula and locoregional liver tumour ablation: a cautionary tale.
机构信息
Department of Diagnostic Radiology, Tan Tock Seng Hospital, Singapore.
出版信息
Br J Radiol. 2011 Dec;84(1008):e243-5. doi: 10.1259/bjr/13919678.
Abstract
A liver abscess is a feared and potentially fatal complication following transarterial chemoembolisation (TACE) and radiofrequency ablation (RFA) of liver tumours. Iatrogenic bilio-enteric communications, such as bilio-enteric anastomosis, sphincterotomy and biliary stents, are considered major risk factors and are due to bacterial colonisation of the biliary tree with enteric flora. Naturally occurring spontaneous cholecysto-enteric fistula poses a similar risk as its iatrogenic counterparts but is rarely described in the literature. We present a case where abscess formation complicated a combined TACE and RFA in an unrecognised cholecystocolic fistula.
摘要
肝脓肿是肝肿瘤经动脉化疗栓塞术（TACE）和射频消融术（RFA）治疗后一种可怕且潜在致命的并发症。医源性胆肠吻合、括约肌切开和胆道支架等胆肠内沟通被认为是主要危险因素，这是由于肠道菌群在胆道内定植所致。自发性胆囊-肠瘘的发生具有类似的风险，但其在文献中很少被描述。我们报告了一例在未被识别的胆囊结肠瘘中，脓肿形成并发 TACE 和 RFA 联合治疗的病例。
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本文引用的文献
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Liver abscess after radiofrequency ablation of tumors in patients with a biliary tract procedure.接受过胆道手术的患者在肿瘤射频消融术后发生肝脓肿。
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