Hemobilia, intrahepatic hematoma and acute thrombosis with cavernomatous transformation of the portal vein after percutaneous thermoablation of a liver metastasis

被引：34

作者：

Francica, G

Marone, G

Solbiati, L

D'Angelo, V

Siani, A

机构：

[1] Osped Cardinale Ascalesi, Div Gastroenterol, Naples, Italy

[2] Osped Gen Busto Arsizio, Div Ecog & Radiol Interventist, Busto Arsizio, Italy

[3] Osped Civile S Maria Delle Grazie, Serv Radiol, Pozzuoli, Italy

来源：

EUROPEAN RADIOLOGY | 2000年 / 10卷 / 06期

关键词：

thermoablation; liver metastasis; hepatic hematoma; hemobilia; portal cavernoma; liver; interventional procedures;

D O I：

10.1007/s003300051038

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

A 53-year-old-man underwent US-guided percutaneous thermal ablation with a cooled-tip needle of three liver metastases from gastric cancer. Six days later, the patient was re-admitted for melena, scleral jaundice, and anemia. Abdominal US disclosed echogenic material in the gallbladder lumen (hemobilia) and a focal lesion with mixed echotexture in segment III (hepatic hematoma). On day 5 portal cavernomatosis was diagnosed at US and confirmed by color Doppler and a helical CT exam. The case described emphasizes that radio-frequency interstitial hyperthermia may cause not only traumatic injury of the liver parenchyma but also thermally mediated damage of vascular structures.

引用

页码：926 / 929

页数：4

共 15 条

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