Cha Jung Guen, Lee Sang Yub, Ryeom Hun Kyu, Hong Jihoon, Tak Won Young, Jang Se Young, Kweon Young-Oh, Park Soo Young, Lee Yu Rim
Department of Radiology, School of Medicine, Kyungpook National University, 680 Gukchaebosang-ro, Jung-gu, Daegu, 41944, Republic of Korea.
Department of Internal Medicine, School of Medicine, Kyungpook National University, 680 Gukchaebosang-ro, Jung-gu, Daegu, 41944, Republic of Korea.
Eur J Radiol Open. 2020 Dec 1;7:100300. doi: 10.1016/j.ejro.2020.100300. eCollection 2020.
Intrahepatic biloma is a rare complication of radiofrequency ablation (RFA). When present, it can only be conservatively managed. Here, we report the case of a patient with hepatocellular carcinoma complicated by an intractable biloma after RFA. The biloma could not be managed via percutaneous catheter drainage and antibiotic administration for over 3 months. The intractable biloma was finally cured using percutaneous transhepatic portal vein embolization. The present case demonstrates a useful treatment option for intractable biloma after RFA.
肝内胆汁瘤是射频消融（RFA）的一种罕见并发症。一旦出现，只能进行保守治疗。在此，我们报告一例肝细胞癌患者在RFA后并发难治性胆汁瘤的病例。该胆汁瘤经皮导管引流及抗生素治疗3个多月仍无法控制。最终，经皮经肝门静脉栓塞术治愈了难治性胆汁瘤。本病例展示了一种治疗RFA后难治性胆汁瘤的有效方法。
