Biliothoracic Fistula after Microwave Ablation of Liver Metastasis : Literature Review

Microwave ablation is a safe and effective interventional approach, widely used in the treatment of unresectable primary or metastatic hepatic lesions. Thoracobiliary fistula is a rare postablation complication that can be treated with a conservative or surgical approach. We reviewed aetiology, path...

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Main Authors: Valentina Tassi, Claudia Mosillo, Massimiliano Mutignani, Roberto Cirocchi, Mark Ragusa, Sergio Bracarda, Giovanni Passalacqua, Gabriele Marinozzi, Massimiliano Allegritti
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Emergency Medicine International
Online Access:http://dx.doi.org/10.1155/2021/9913076
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author Valentina Tassi
Claudia Mosillo
Massimiliano Mutignani
Roberto Cirocchi
Mark Ragusa
Sergio Bracarda
Giovanni Passalacqua
Gabriele Marinozzi
Massimiliano Allegritti
author_facet Valentina Tassi
Claudia Mosillo
Massimiliano Mutignani
Roberto Cirocchi
Mark Ragusa
Sergio Bracarda
Giovanni Passalacqua
Gabriele Marinozzi
Massimiliano Allegritti
author_sort Valentina Tassi
collection DOAJ
description Microwave ablation is a safe and effective interventional approach, widely used in the treatment of unresectable primary or metastatic hepatic lesions. Thoracobiliary fistula is a rare postablation complication that can be treated with a conservative or surgical approach. We reviewed aetiology, pathogenesis, clinical picture, diagnostic possibilities, and therapeutic options for biliothoracic fistula developed after microwave ablation of liver metastasis. Furthermore, we reported our experience of successful conservative management of a nonhealing thoracobiliary fistula occurred after percutaneous thermal ablation of colorectal cancer liver metastasis. Our case supports a conservative approach based on percutaneous biliary system decompression and synthetic glue embolization for the treatment of combined biliopleural and biliobronchial fistula.
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series Emergency Medicine International
spelling doaj-art-395c0208eb5c44c6bf81b1fcb0e377bc2025-02-03T05:57:52ZengWileyEmergency Medicine International2090-28402090-28592021-01-01202110.1155/2021/99130769913076Biliothoracic Fistula after Microwave Ablation of Liver Metastasis : Literature ReviewValentina Tassi0Claudia Mosillo1Massimiliano Mutignani2Roberto Cirocchi3Mark Ragusa4Sergio Bracarda5Giovanni Passalacqua6Gabriele Marinozzi7Massimiliano Allegritti8Thoracic Surgery Unit, Azienda Ospedaliera Santa Maria, Terni, ItalyMedical and TranslationalOncology Unit, Azienda Ospedaliera Santa Maria, Terni, ItalyDigestive Endoscopic Unit, Ospedale Niguarda, Milano, ItalyDepartment of Medicine and Surgery, University of Perugia, Perugia, ItalyThoracic Surgery Unit, Azienda Ospedaliera Santa Maria, Terni, ItalyMedical and TranslationalOncology Unit, Azienda Ospedaliera Santa Maria, Terni, ItalyDivision of Interventional Radiology, Azienda Ospedaliera Santa Maria, Terni, ItalyDigestive Endoscopic Unit, Azienda Ospedaliera Santa Maria, Terni, ItalyDivision of Interventional Radiology, Azienda Ospedaliera Santa Maria, Terni, ItalyMicrowave ablation is a safe and effective interventional approach, widely used in the treatment of unresectable primary or metastatic hepatic lesions. Thoracobiliary fistula is a rare postablation complication that can be treated with a conservative or surgical approach. We reviewed aetiology, pathogenesis, clinical picture, diagnostic possibilities, and therapeutic options for biliothoracic fistula developed after microwave ablation of liver metastasis. Furthermore, we reported our experience of successful conservative management of a nonhealing thoracobiliary fistula occurred after percutaneous thermal ablation of colorectal cancer liver metastasis. Our case supports a conservative approach based on percutaneous biliary system decompression and synthetic glue embolization for the treatment of combined biliopleural and biliobronchial fistula.http://dx.doi.org/10.1155/2021/9913076
spellingShingle Valentina Tassi
Claudia Mosillo
Massimiliano Mutignani
Roberto Cirocchi
Mark Ragusa
Sergio Bracarda
Giovanni Passalacqua
Gabriele Marinozzi
Massimiliano Allegritti
Biliothoracic Fistula after Microwave Ablation of Liver Metastasis : Literature Review
Emergency Medicine International
title Biliothoracic Fistula after Microwave Ablation of Liver Metastasis : Literature Review
title_full Biliothoracic Fistula after Microwave Ablation of Liver Metastasis : Literature Review
title_fullStr Biliothoracic Fistula after Microwave Ablation of Liver Metastasis : Literature Review
title_full_unstemmed Biliothoracic Fistula after Microwave Ablation of Liver Metastasis : Literature Review
title_short Biliothoracic Fistula after Microwave Ablation of Liver Metastasis : Literature Review
title_sort biliothoracic fistula after microwave ablation of liver metastasis literature review
url http://dx.doi.org/10.1155/2021/9913076
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