Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
3286715 | Clinics and Research in Hepatology and Gastroenterology | 2013 | 5 Pages |
Abstract
We report a case of complete hemidiaphragmatic necrosis with liver abscess complicating radiofrequency ablation of a large subdiaphragmatic hepatocellular carcinoma in a patient with unrecognized history of endoscopic oddi sphincterotomy. At 2-year follow-up after surgical repair using a pedicled latissimus dorsi flap, clinical examination and imaging did not show complication or cancer recurrence. The risk of complete hemidiaphragmatic necrosis resulting from both thermal and septic injuries should be considered when radiofrequency ablation is performed for liver dome tumors, particularly in patients with impaired oddi sphincter. In this septic situation, a latissimus dorsi flap appears as the unique opportunity to repair the injured hemidiaphragm.
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Authors
Frederic Kanso, Pierre Nahon, Dominique Blaison, Jean-Claude Trinchet, Michel Beaugrand, Olivier Seror, Emmanuel Martinod,