Tan You-Wen, Zhang Xin-Yue
Department of Hepatology, The Third Hospital of Zhenjiang Affiliated Jiangsu University, Zhenjiang 212003, Jiangsu Province, China.
World J Clin Cases. 2023 Aug 16;11(23):5610-5614. doi: 10.12998/wjcc.v11.i23.5610.
Radiofrequency ablation (RFA) is an effective and safe treatment for hepatocellular carcinoma that features a lower incidence of serious complications than surgical resection. Hemocholecyst caused by RFA is a rare complication of secondary damage to the intrahepatic bile duct that results in hemobilia.
Here we report on a case of a hemocholecyst caused by accidental injury during RFA that induced hematemesis and melena. Digital subtraction angiography revealed no gallbladder arterial injuries. After conservative treatment and transcatheter arterial chemoembolization, the patient's condition stabilized, and she was discharged 1 wk later.
Therefore, when performing interventional procedures such as RFA, clinicians must be vigilant because even minor injuries can lead to serious complications such as hemocholecyst.
射频消融术(RFA)是一种治疗肝细胞癌的有效且安全的方法,其严重并发症的发生率低于手术切除。RFA引起的胆囊积血是肝内胆管继发性损伤导致胆道出血的一种罕见并发症。
在此,我们报告一例RFA术中意外损伤导致胆囊积血并引发呕血和黑便的病例。数字减影血管造影显示无胆囊动脉损伤。经过保守治疗和经导管动脉化疗栓塞后,患者病情稳定,1周后出院。
因此,在进行如RFA等介入操作时,临床医生必须保持警惕,因为即使是轻微损伤也可能导致诸如胆囊积血等严重并发症。