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language
eng
Author
Yano, Seiji
Itagaki, Tomoko
Nishi, Takeshi
Kataoka, Yoshiki
Endo, Shinichiro
Koike, Makoto
Hashimoto, Koji
Higami, Tetsuya
Description
Two cases of liver abscess following ablation therapies for metastatic liver tumor after biliary reconstruction are reported. Case 1; A 58-year-old man underwent pylorus preserving pancreatoduodenectomy for cholangiocarcinoma. Microwave coagulation therapy was performed for metastatic liver tumor; however, liver abscess developed after one month and became recurrent. Case 2; A 67-year-old woman underwent pylorus preserving pancreatoduodenectomy for periampullary cancer. Radio frequency ablation was performed for metastatic liver tumor; however, liver abscess developed after one week. In Case 1, we believe that cholangitis at the peripheral level of the intrahepatic biliary tree spread to the treated area and altered blood flow caused recurrence of liver abscess.
In Case 2, cholangitis could have been directly transferred to the ablated area through between the abscess and intrahepatic bile duct. In conclusion, ablation therapies could promote the development of liver abscess in patients who have undergone biliary tract reconstruction after tumor resection and might be contraindicated in such patients.
Journal Title
Shimane journal of medical science
Volume
22
Issue
1
Start Page
13
End Page
18
ISSN
03865959
ISSN(Online)
24332410
Published Date
2005-03-01
NCID
AA00841586
Publisher Aalternative
Shimane University Faculty of Medicine
NII Type
Departmental Bulletin Paper
Format
PDF
Text Version
出版社版
OAI-PMH Set
Faculty of Medicine
Remark
http://ci.nii.ac.jp/vol_issue/nels/AA00841586_jp.html
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