Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12
pubmed:dateCreated
2004-2-19
pubmed:abstractText
Radiofrequency is increasingly used to manage liver tumors. This report describes the case of a 74-year-old man who received two courses of percutaneous radiofrequency thermal ablation for a hepatocellular carcinoma over a 4-month period. He subsequently required computed tomography-guided drainage for an area of intrahepatic necrosis. During the procedure, hemobilia developed, followed by respiratory distress and collapse. The diagnosis of bile pulmonary embolism was established on the basis of high biliary acid concentrations in pulmonary fluid aspiration and blood plasma. Radiofrequency thermoablation provides local control of advanced liver tumors with low recurrence and morbidity. However, this interventional procedure risks damage to liver parenchyma involving vascular and biliary structures, which may lead to biliary-venous fistula and possible bile emboli.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
1432-2218
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
17
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
2028-31
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:14973755-Aged, pubmed-meshheading:14973755-Anuria, pubmed-meshheading:14973755-Bile, pubmed-meshheading:14973755-Bile Ducts, Intrahepatic, pubmed-meshheading:14973755-Biliary Fistula, pubmed-meshheading:14973755-Carcinoma, Hepatocellular, pubmed-meshheading:14973755-Catheter Ablation, pubmed-meshheading:14973755-Drainage, pubmed-meshheading:14973755-Fatal Outcome, pubmed-meshheading:14973755-Hemobilia, pubmed-meshheading:14973755-Humans, pubmed-meshheading:14973755-Intraoperative Complications, pubmed-meshheading:14973755-Liver, pubmed-meshheading:14973755-Liver Neoplasms, pubmed-meshheading:14973755-Male, pubmed-meshheading:14973755-Postoperative Complications, pubmed-meshheading:14973755-Pulmonary Embolism, pubmed-meshheading:14973755-Punctures, pubmed-meshheading:14973755-Radiography, Interventional, pubmed-meshheading:14973755-Respiratory Distress Syndrome, Adult, pubmed-meshheading:14973755-Tomography, X-Ray Computed, pubmed-meshheading:14973755-Vascular Fistula
pubmed:year
2003
pubmed:articleTitle
Fatal bile pulmonary embolism after radiofrequency treatment of a hepatocellular carcinoma.
pubmed:affiliation
Department of Anesthesiology and Intensive Care, Hôpital Civil, Hôpitaux Universitaires, 1 Place de l'Hôpital, 67091 Strasbourg Cedex, France. catherine.mutter@chru-strasbourg.fr
pubmed:publicationType
Journal Article, Case Reports