TITLE

Unexplained liver laceration after metastasis radiofrequency ablation

AUTHOR(S)
Uña, Esther; Trueba, Javier; Montes, Jose Manuel; Chawla, Yogesh K.
PUB. DATE
October 2009
SOURCE
World Journal of Gastroenterology;10/28/2009, Vol. 15 Issue 40, p5103
SOURCE TYPE
Academic Journal
DOC. TYPE
Case Study
ABSTRACT
Many studies have established the role of radiofrequency (RF) ablation as a minimally invasive treatment for liver metastases. Although relatively safe, several complications have been reported with the increased use of RF ablation. We describe here a case of unexplained liver laceration after a RF procedure. A woman who presented a solitary metachronous liver metastasis underwent RF ablation treatment for this lesion. Six hours later the patient displayed fatigue and pallor. Emergency blood tests showed a haemoglobin level of < 7 g/dL and markedly elevated transaminase levels. A computed tomography examination revealed two areas of liver laceration with haematoma, one of them following the path of the needle and the other leading away from the first. Following a blood transfusion, the patient was haemodynamically stable and completely recovered 24 h later. The patient remained in bed for 1 wk. No surgical intervention was required, and she was discharged 1 wk later.
ACCESSION #
44922496

 

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