A patient who developed diaphragmatic hernia 20 months after percutaneous radiofrequency ablation for hepatocellular carcinoma

  • NAWA Takatoshi
    Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine
  • MOCHIZUKI Kiyoshi
    Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine
  • YAKUSHIJIN Takayuki
    Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine
  • HAMANO Mina
    Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine
  • ITOSE Ichiyo
    Department of Internal Medicine, Kansai Rosai Hospital
  • EGAWA Satoshi
    Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine
  • NISHIDA Tsutomu
    Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine
  • TSUTSUI Syusaku
    Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine
  • HIRAMATSU Naoki
    Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine
  • KANTO Tatsuya
    Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine
  • TAKEHARA Tetsuo
    Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine
  • HAYASHI Norio
    Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine

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Other Title
  • 経皮的ラジオ波焼灼術施行20カ月後に横隔膜ヘルニアを発症した1例

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Abstract

A 50-year-old man underwent radiofrequency ablation (RFA) for a hepatocellular carcinoma, located in the S8 area adjacent to the diaphragm. 20 months later, he was admitted because of severe right hypochondralgia and dyspnea.<br> Computed tomography revealed a prolapsed large intestine through a defect on the right diaphragm, and emergency surgery was performed. Patients who have undergone RFA for a hepatic tumor adjacent to the diaphragm should be carefully followed up for possible diaphragmatic hernia, even after a long postoperative interval.<br>

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