Tan YW, Zhang XY. Hemocholecyst caused by accidental injury associated with radiofrequency ablation for hepatocellular carcinoma: A case report. World J Clin Cases 2023; 11(23): 5610-5614 [PMID: 37637692 DOI: 10.12998/wjcc.v11.i23.5610]
Corresponding Author of This Article
You-Wen Tan, MD, Chief Doctor, Professor, Department of Hepatology, The Third Hospital of Zhenjiang Affiliated Jiangsu University, No. 300 Daijiamen, Runzhou Distinct, Zhenjiang 212003, Jiangsu Province, China. tyw915@sina.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Aug 16, 2023; 11(23): 5610-5614 Published online Aug 16, 2023. doi: 10.12998/wjcc.v11.i23.5610
Hemocholecyst caused by accidental injury associated with radiofrequency ablation for hepatocellular carcinoma: A case report
You-Wen Tan, Xin-Yue Zhang
You-Wen Tan, Xin-Yue Zhang, Department of Hepatology, The Third Hospital of Zhenjiang Affiliated Jiangsu University, Zhenjiang 212003, Jiangsu Province, China
Author contributions: Tan YW and Zhang XY made equal contributions to the research. Tan YW designed the research; Zhang XY collected and analyzed the data, and drafted the manuscript; Tan YW and Zhang XY wrote and revised the manuscript; All authors have read and approved the final version to be published.
Informed consent statement: The patient provided informed written consent.
Conflict-of-interest statement: All the authors report having no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: You-Wen Tan, MD, Chief Doctor, Professor, Department of Hepatology, The Third Hospital of Zhenjiang Affiliated Jiangsu University, No. 300 Daijiamen, Runzhou Distinct, Zhenjiang 212003, Jiangsu Province, China. tyw915@sina.com
Received: May 29, 2023 Peer-review started: May 29, 2023 First decision: July 6, 2023 Revised: July 6, 2023 Accepted: July 17, 2023 Article in press: July 17, 2023 Published online: August 16, 2023
Abstract
BACKGROUND
Radiofrequency ablation (RFA) is an effective and safe treatment for hepatocellular carcinoma that features a lower incidence of serious complications than surgical resection. Hemocholecyst caused by RFA is a rare complication of secondary damage to the intrahepatic bile duct that results in hemobilia.
CASE SUMMARY
Here we report on a case of a hemocholecyst caused by accidental injury during RFA that induced hematemesis and melena. Digital subtraction angiography revealed no gallbladder arterial injuries. After conservative treatment and transcatheter arterial chemoembolization, the patient’s condition stabilized, and she was discharged 1 wk later.
CONCLUSION
Therefore, when performing interventional procedures such as RFA, clinicians must be vigilant because even minor injuries can lead to serious complications such as hemocholecyst.
Core Tip: Radiofrequency ablation (RFA) is an effective and safe treatment for hepatocellular carcinoma, with a lower incidence of serious complications than surgical resection. Hemocholecyst caused by RFA is a rare complication caused by secondary damage to the intrahepatic bile duct, resulting in hemobilia. Here, we report on a case of hemocholecyst caused by accidental injury during RFA that induced hematemesis and melena. Digital subtraction angiography did not reveal any gallbladder arterial injury. After conservative treatment and transcatheter arterial chemoembolization, the patient’s condition stabilized, and she was discharged after 1 wk.
