書誌事項
- タイトル別名
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- Incarcerated Diaphragmatic Hernia as a Late Complication of Radiofrequency Ablation for Hepatocellular Carcinoma
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説明
The incidence of treatment-related complications after radiofrequency ablation (RFA) for liver tumors is low, and complications of diaphragmatic burns after RFA are rare. We report a rare post-RFA diaphragmatic hernia involving hepatocellular carcinoma (HCC) in the right subphrenic region. A 78-year-old woman admitted for HCC treatment arising from a cirrhotic liver was found in contrast-enhanced computed tomography to have a solitary HCC 1.5cm at its greatest dimension in Couinaud segment VIII. We conducted percutaneous ultrasound-guided RFA with artificial pleural effusion for a hepatic lesion beneath the right hemidiaphragm. One year later, she suffered coughing and dyspnea followed a few days later by abdominal distension and hepatic encephalopathy. Based on a diagnosis of small bowel obstruction caused by an incarcerated diaphragmatic hernia, we conducted laparotomy, finding an incarcerated ileal loop through a 2cm defect at the right hemidiaphragm adjacent to the previously ablated lesion and necessitating partial resection of the ileum and repair of the diaphragmatic hernia caused by RFA therapy. Clinicians must therefore consider such findings a late complication of RFA for hepatic tumors.
収録刊行物
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- 日本消化器外科学会雑誌
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日本消化器外科学会雑誌 41 (5), 593-598, 2008
一般社団法人 日本消化器外科学会
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詳細情報 詳細情報について
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- CRID
- 1390001204917154816
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- NII論文ID
- 130004344854
- 110006664564
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- NII書誌ID
- AN00192066
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- ISSN
- 13489372
- 03869768
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可