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首页> 外文期刊>Journal of International Medical Research >Massive abdominal hemorrhage after radiofrequency ablation of recurrent hepatocellular carcinoma with successful hemostasis achieved through transarterial embolization: a case report
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Massive abdominal hemorrhage after radiofrequency ablation of recurrent hepatocellular carcinoma with successful hemostasis achieved through transarterial embolization: a case report

机译：含射频渗透术后胃肠癌的巨大腹部出血，通过培养栓塞成功止血术：案例报告

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摘要

Acute massive abdominal hemorrhage after radiofrequency ablation (RFA) for hepatocellular carcinoma (HCC) is an infrequent and severe complication. Delayed diagnosis and treatment may be life-threatening. We herein describe a 60-year-old man with a history of postoperative HCC. A new nidus of HCC was found in his right liver lobe after abdominal magnetic resonance imaging and intraoperative angiography. The patient then underwent computed tomography-guided RFA. However, 7 hours after RFA, he suddenly developed dizziness, nausea, abdominal distension, hematuria, a decreased blood pressure, and an increased heart rate. Diagnostic abdominal puncture produced bloody liquid, and angiography demonstrated hemorrhage in the right hepatic artery. Transarterial embolization was performed following the administration of an appropriate amount of tissue emulsion to embolize the source of hemorrhage. Following this treatment, the patient had no further bleeding. Neither the hemorrhage nor the HCC lesions had recurred after 3 months of follow-up.
机译：急性大规模腹部出血后射频消融（RFA）用于肝细胞癌（HCC）是一种不常见和严重的并发症。延迟诊断和治疗可能是危及生命的。我们在此描述了一个60岁的男子，患有术后HCC的历史。在腹部磁共振成像和术中血管造影术后，在他的右肝叶中发现了一种新的HCC的新生。然后患者接受过计算的断层扫描引导RFA。然而，RFA后7小时，他突然出现了头晕，恶心，腹胀，血尿，降低血压，并增加了心率。诊断腹穿刺产生血液液体，血管造影在右肝动脉中显示出血。在给予适量的组织乳液后进行常规栓塞以栓塞出血源。在这种治疗之后，患者没有进一步出血。出血和HCC病变均未在3个月后重复进行。

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