Abstract
A 74-year-old male with small bowel carcinoid tumor and multiple liver metastases underwent radiofrequency ablation of a segment 6 liver tumor. He developed high fevers thereafter and was admitted with sepsis 1 week after the ablation. Contrast-enhanced CT imaging demonstrated a large abscess in the right lobe with an air -fluid level (Fig. 66.1). A percutaneous drain was placed in the collection and the infection was controlled. The drain had a persistent daily bilious output of 100–200 cc for the preceding 10 days. A contrast abscessogram showed that the cavity communicated with biliary radicles (Fig. 66.2). Cone beam CT demonstrated a biliary fistula to the segment 6 radicles with no communication with the central bile ducts (Fig. 66.3).
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Lopera, J.E. (2023). Glue Embolization of a High Output Biliary Fistula After RFA. In: Haskal, Z.J. (eds) Extreme IR. Springer, Cham. https://doi.org/10.1007/978-3-031-24251-9_66
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DOI: https://doi.org/10.1007/978-3-031-24251-9_66
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