Hoskovec David, Hořejš Josef, Krška Zdeněk, Argalácsová Soňa, Klobušický Pavol
1st Department of Surgery, 1st Faculty of Medicine Charles University and General University Hospital, 121 08 Prague, Czech Republic.
Department of Radiodiagnostics, 1st Faculty of Medicine Charles University and General University Hospital, 121 08 Prague, Czech Republic.
Diagnostics (Basel). 2023 Dec 22;14(1):26. doi: 10.3390/diagnostics14010026.
Radiofrequency thermal ablation (RFA) is widely used and has been accepted for the treatment of unresectable tumors. The leading technique that is used is percutaneous RFA under CT or US guidance. Multicenter surveys report acceptable morbidity and mortality rates for RFA. The mortality rate ranges from 0.1% to 0.5%, the major complication rate ranges from 2% to 3%. Diaphragmatic injury is a rare complication and it is described after RFA of subdiaphragmatic tumors. Most of them are without clinical importance. There are some case reports about diaphragmatic herniation of the intestine into the pleural cavity. We present a case of diaphragmatic perforation resulting in the herniation of the liver into the pleural cavity. A thoracotomy was performed, the liver was lowered back into the peritoneal cavity and the perforation was closed with mesh.
射频热消融（RFA）已被广泛应用并被接受用于治疗不可切除的肿瘤。目前使用的主要技术是在CT或超声引导下进行经皮RFA。多中心调查显示RFA的发病率和死亡率可接受。死亡率在0.1%至0.5%之间，主要并发症发生率在2%至3%之间。膈肌损伤是一种罕见的并发症，在膈下肿瘤的RFA后有相关描述。其中大多数无临床意义。有一些关于肠管疝入胸腔的病例报告。我们报告一例因膈肌穿孔导致肝脏疝入胸腔的病例。实施了开胸手术，将肝脏放回腹腔，并使用网片封闭穿孔。
