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Diaphragmatic Perforation and Hernia After Hepatic Radiofrequency Ablation

Masahiko Koda1, Masaru Ueki, Naoto Maeda and Yoshikazu Murawaki

1 All authors: Second Department of Internal Medicine, Faculty of Medicine, Tottori University, Yonago, 683-8504, Tottori, Japan.



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  		Fig. 1A. —61-year-old woman with hepatocellular carcinomas in liver segments VIII and VI that were treated by radiofrequency ablation. Dynamic arterial phase CT scan obtained after second radiofrequency ablation shows that ablated tumor does not enhance. Unenhanced area corresponds to hepatic surface and diaphragm (arrow).

 


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  		Fig. 1B. —61-year-old woman with hepatocellular carcinomas in liver segments VIII and VI that were treated by radiofrequency ablation. Barium enema 13 months after treatment reveals large intestine herniated into chest through hole in diaphragm (arrow).

 


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  		Fig. 1C. —61-year-old woman with hepatocellular carcinomas in liver segments VIII and VI that were treated by radiofrequency ablation. Photograph taken during surgery shows hole in diaphragm (arrow) that measured 5 cm in diameter. Hole was in contact with, but not adherent to, hepatocellular carcinoma that had been treated by radiofrequency ablation.

 

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