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Inicio Cirugía Española (English Edition) Biliary Fistula Between the Gallbladder and Post-Radiofrequency Hepatic Necrosis
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Vol. 95. Issue 2.
Pages 109 (February 2017)
Vol. 95. Issue 2.
Pages 109 (February 2017)
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DOI: 10.1016/j.cireng.2017.03.003
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Biliary Fistula Between the Gallbladder and Post-Radiofrequency Hepatic Necrosis
Fístula biliar entre vesícula y necrosis hepática posradiofrecuencia
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Enric Sebastian Valverdea,
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, Ignasi Povesa, Aleksandar Radosevicb, Fernando Burdío Pinillaa
a Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitari del Mar, Barcelona, Spain
b Servicio de Radiología, Hospital Universitari del Mar, Barcelona, Spain
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The patient is a 77-year-old woman with Child–Pugh grade B cirrhosis of the liver due to HCV, who underwent percutaneous ablation of segment VI as treatment for a BCLC stage A4 hepatocellular carcinoma in 2012. In 2015, a follow-up CT scan identified 4 nodules in segments V and VI, which were compatible with recurrence, so radiofrequency ablation was used once again. Four months later, cholestasis was observed, with no associated symptoms. A new CT scan revealed a communication between the gallbladder and a post-ablation hepatic necrotic collection, with several biliary calculi in transit between them (Fig. 1). We performed cholecystectomy and debrided the collection, which contained several calculi.

Fig. 1
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Please cite this article as: Sebastian Valverde E, Poves I, Radosevic A, Burdío Pinilla F. Fístula biliar entre vesícula y necrosis hepática posradiofrecuencia. Cir Esp. 2017;95:109.

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