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Late-onset diaphragmatic hernia after percutaneous radiofrequency ablation of hepatocellular carcinoma: a case study

Percutaneous radiofrequency ablation (RFA) is widely used as an effective treatment of liver tumors. Several reported complications associated with RFA are due to thermal damage of neighboring organs. The present report presents a case of diaphragmatic hernia associated with RFA and hepatocellular c...

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Autores principales: Abe, Tomoyuki, Amano, Hironobu, Takechi, Hitomi, Fujikuni, Nobuaki, Sasada, Tatsunari, Yoshida, Makoto, Yamaki, Minoru, Nakahara, Masahiro, Noriyuki, Toshio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4791441/
https://www.ncbi.nlm.nih.gov/pubmed/26976615
http://dx.doi.org/10.1186/s40792-016-0148-3
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author Abe, Tomoyuki
Amano, Hironobu
Takechi, Hitomi
Fujikuni, Nobuaki
Sasada, Tatsunari
Yoshida, Makoto
Yamaki, Minoru
Nakahara, Masahiro
Noriyuki, Toshio
author_facet Abe, Tomoyuki
Amano, Hironobu
Takechi, Hitomi
Fujikuni, Nobuaki
Sasada, Tatsunari
Yoshida, Makoto
Yamaki, Minoru
Nakahara, Masahiro
Noriyuki, Toshio
author_sort Abe, Tomoyuki
collection PubMed
description Percutaneous radiofrequency ablation (RFA) is widely used as an effective treatment of liver tumors. Several reported complications associated with RFA are due to thermal damage of neighboring organs. The present report presents a case of diaphragmatic hernia associated with RFA and hepatocellular carcinoma (HCC). A 72-year-old woman with S5 and S8 HCCs was treated repeatedly with RFA and transcatheter arterial chemoembolization for 3 years. After the third course of RFA to target the recurring S5 HCC, acute abdominal pain and dyspnea suddenly occurred. Contrast-enhanced computed tomography revealed intrusion of the transverse colon through the right diaphragmatic hernia. In addition, the colon was dilated and showed changes suggestive of ischemic conditions. An emergency surgery was performed to close the hernia by using non-absorbable sutures to preserve the colon. The patient was discharged without any complications 13 days after the surgery. The first-line treatment of this disease involves surgical intervention. Diaphragmatic hernia is a rare complication of RFA. The present case suggests that patients who undergo several rounds of RFA require surveillance for diaphragmatic hernias.
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spelling pubmed-47914412016-04-09 Late-onset diaphragmatic hernia after percutaneous radiofrequency ablation of hepatocellular carcinoma: a case study Abe, Tomoyuki Amano, Hironobu Takechi, Hitomi Fujikuni, Nobuaki Sasada, Tatsunari Yoshida, Makoto Yamaki, Minoru Nakahara, Masahiro Noriyuki, Toshio Surg Case Rep Case Report Percutaneous radiofrequency ablation (RFA) is widely used as an effective treatment of liver tumors. Several reported complications associated with RFA are due to thermal damage of neighboring organs. The present report presents a case of diaphragmatic hernia associated with RFA and hepatocellular carcinoma (HCC). A 72-year-old woman with S5 and S8 HCCs was treated repeatedly with RFA and transcatheter arterial chemoembolization for 3 years. After the third course of RFA to target the recurring S5 HCC, acute abdominal pain and dyspnea suddenly occurred. Contrast-enhanced computed tomography revealed intrusion of the transverse colon through the right diaphragmatic hernia. In addition, the colon was dilated and showed changes suggestive of ischemic conditions. An emergency surgery was performed to close the hernia by using non-absorbable sutures to preserve the colon. The patient was discharged without any complications 13 days after the surgery. The first-line treatment of this disease involves surgical intervention. Diaphragmatic hernia is a rare complication of RFA. The present case suggests that patients who undergo several rounds of RFA require surveillance for diaphragmatic hernias. Springer Berlin Heidelberg 2016-03-14 /pmc/articles/PMC4791441/ /pubmed/26976615 http://dx.doi.org/10.1186/s40792-016-0148-3 Text en © Abe et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Case Report
Abe, Tomoyuki
Amano, Hironobu
Takechi, Hitomi
Fujikuni, Nobuaki
Sasada, Tatsunari
Yoshida, Makoto
Yamaki, Minoru
Nakahara, Masahiro
Noriyuki, Toshio
Late-onset diaphragmatic hernia after percutaneous radiofrequency ablation of hepatocellular carcinoma: a case study
title Late-onset diaphragmatic hernia after percutaneous radiofrequency ablation of hepatocellular carcinoma: a case study
title_full Late-onset diaphragmatic hernia after percutaneous radiofrequency ablation of hepatocellular carcinoma: a case study
title_fullStr Late-onset diaphragmatic hernia after percutaneous radiofrequency ablation of hepatocellular carcinoma: a case study
title_full_unstemmed Late-onset diaphragmatic hernia after percutaneous radiofrequency ablation of hepatocellular carcinoma: a case study
title_short Late-onset diaphragmatic hernia after percutaneous radiofrequency ablation of hepatocellular carcinoma: a case study
title_sort late-onset diaphragmatic hernia after percutaneous radiofrequency ablation of hepatocellular carcinoma: a case study
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4791441/
https://www.ncbi.nlm.nih.gov/pubmed/26976615
http://dx.doi.org/10.1186/s40792-016-0148-3
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