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Br J Radiol. 2011 Dec;84(1008):e243-5. doi: 10.1259/bjr/13919678.

Case report. Spontaneous cholecystocolic fistula and locoregional liver tumour ablation: a cautionary tale.

Author information

1
Department of Diagnostic Radiology, Tan Tock Seng Hospital, Singapore. druei@yahoo.com

Abstract

A liver abscess is a feared and potentially fatal complication following transarterial chemoembolisation (TACE) and radiofrequency ablation (RFA) of liver tumours. Iatrogenic bilio-enteric communications, such as bilio-enteric anastomosis, sphincterotomy and biliary stents, are considered major risk factors and are due to bacterial colonisation of the biliary tree with enteric flora. Naturally occurring spontaneous cholecysto-enteric fistula poses a similar risk as its iatrogenic counterparts but is rarely described in the literature. We present a case where abscess formation complicated a combined TACE and RFA in an unrecognised cholecystocolic fistula.

PMID:
22101592
PMCID:
PMC3473819
DOI:
10.1259/bjr/13919678
[Indexed for MEDLINE]
Free PMC Article

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