Biliary Pleural Fistula as a Complication of Radiofrequency Ablation for Liver Metastasis

Liberale, Gabriel; Delhaye, Myriam; Ansay, J; Houben, Jean-Jacques; Coppens, Emmanuel; Gelin, Michel; Donckier, Vincent

doi:10.1080/00015458.2004.11679591

Cited by 15 publications

(9 citation statements)

References 7 publications

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“…Although the surgical approach based on debridement and ductal repair has been long advocated [6,12], less-invasive treatments have recently developed [16][17][18]. None of the patients with postablative TBF for liver metastasis described in the literature underwent surgery (Table 1) [14,[16][17][18][19][20]. e Emergency Medicine International conservative approach is aimed to decrease the pressure in the biliary tree and to prevent the flow of bile through the TBF, enhancing its closure [7].…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

Biliothoracic Fistula after Microwave Ablation of Liver Metastasis : Literature Review

Tassi

Mandato

Mutignani

et al. 2021

Emergency Medicine International

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Microwave ablation is a safe and effective interventional approach, widely used in the treatment of unresectable primary or metastatic hepatic lesions. Thoracobiliary fistula is a rare postablation complication that can be treated with a conservative or surgical approach. We reviewed aetiology, pathogenesis, clinical picture, diagnostic possibilities, and therapeutic options for biliothoracic fistula developed after microwave ablation of liver metastasis. Furthermore, we reported our experience of successful conservative management of a nonhealing thoracobiliary fistula occurred after percutaneous thermal ablation of colorectal cancer liver metastasis. Our case supports a conservative approach based on percutaneous biliary system decompression and synthetic glue embolization for the treatment of combined biliopleural and biliobronchial fistula.

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Section: Discussion and Literature Reviewmentioning

confidence: 99%

Biliothoracic Fistula after Microwave Ablation of Liver Metastasis : Literature Review

Tassi

Mandato

Mutignani

et al. 2021

Emergency Medicine International

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“…Although rare, this condition has recently been reported as a complication of percutaneous biliary interventions such as transhepatic biliary drainage [3, 4, 6, 10], gallbladder drainage [5], or radiofrequency ablation of a liver tumor [8]. Carrasco et al [6] observed 4 cases (2.5%) of BPF among 161 patients who underwent percutaneous biliary drainage for malignant biliary obstruction.…”

Section: Discussionmentioning

confidence: 99%

“…Biliary-pleural fistula (BPF), an abnormal communication between the biliary tract and pleural space, is a rare but potentially life-threatening complication of disease of the biliary tract. It has been reported to occur following percutaneous biliary interventions such as transhepatic biliary drainage [3, 4, 5, 6, 7] or radiofrequency ablation of a liver tumor [8]; however, it has not been reported as a complication of PVE to our knowledge. Herein, we report a patient with obstructive jaundice secondary to perihilar cholangiocarcinoma who developed a BPF following PVE.…”

Section: Introductionmentioning

confidence: 99%

Biliary-Pleural Fistula following Portal Vein Embolization for Perihilar Cholangiocarcinoma

Mohammed

Kobayashi

Jawed

2017

Case Rep Gastroenterol

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Biliary-pleural fistula (BPF), an abnormal communication between the biliary tract and pleural space, is a rare but potentially life-threatening complication following percutaneous biliary intervention. We report a case of BPF following portal vein embolization (PVE) in a 79-year-old woman with obstructive jaundice secondary to perihilar cholangiocarcinoma. The patient successfully underwent right-sided PVE; however, the patient developed a symptomatic right-sided bilious pleural effusion the following day. Despite aggressive drainage of the pleural effusion with a large-bore chest tube and maximal medical management, the patient died from respiratory failure and pneumonia. Although rare, knowledge of this complication is important when performing PVE in patients with biliary obstruction because it can be life-threatening. Early recognition and management of this complication are crucial to avoid a poor outcome.

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“…Several liver abscesses have been documented after RFA; one of them developed only after 5 months [4]. Various fistulations, for example, biliary-intestinal [5][6] and biliary-pleural [7], have also occurred after RFA.…”

Section: Discussionmentioning

confidence: 99%

Hepato-pericardial fistula following radiofrequency ablation (RFA) for liver metastasis: a case report and review of the literature

Thiemann

Benhidjeb

Anders

et al. 2008

Langenbecks Arch Surg

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Biliary Pleural Fistula as a Complication of Radiofrequency Ablation for Liver Metastasis

Cited by 15 publications

References 7 publications

Biliothoracic Fistula after Microwave Ablation of Liver Metastasis : Literature Review

Biliothoracic Fistula after Microwave Ablation of Liver Metastasis : Literature Review

Biliary-Pleural Fistula following Portal Vein Embolization for Perihilar Cholangiocarcinoma

Hepato-pericardial fistula following radiofrequency ablation (RFA) for liver metastasis: a case report and review of the literature

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