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Nuclear Imaging to Detect Diaphragmatic Perforation as a Rare Complication of Microwave Ablation
المؤلفون المشاركون
Jamkhana, Zafar Akram
Cull, Stephanie
Khneizer, Gebran
Krishna, Abhishek
Muzaffar, Razi
Gadani, Sameer
المصدر
العدد
المجلد 2017، العدد 2017 (31 ديسمبر/كانون الأول 2017)، ص ص. 1-4، 4ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2017-03-14
دولة النشر
مصر
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
Acquired diaphragmatic perforation leading to massive hepatic hydrothorax and respiratory failure is a rare complication of microwave ablation (MWA) of hepatocellular carcinoma (HCC).
Imaging modalities to detect pleuroperitoneal communication remain poorly described.
We report a nuclear imaging technique used to efficiently diagnose and locate diaphragmatic defects.
A 57-year-old male with cirrhosis and HCC presented with respiratory distress after undergoing MWA of a HCC lesion.
He was admitted to the intensive care unit for noninvasive positive pressure ventilator support.
Chest radiography revealed a new large right pleural effusion.
Large-volume thoracentesis was consistent with hepatic hydrothorax.
The fluid reaccumulated within 24 hours; therefore an acquired diaphragmatic perforation induced by the ablation procedure was suspected.
To investigate, 99mTechnetium-labeled albumin was injected into the peritoneal cavity.
The tracer accumulated in the right hemi thorax almost immediately.
The patient then underwent transjugular intrahepatic portosystemic shunting in efforts to relieve portal hypertension and decrease ascites volume.
Unfortunately, the patient deteriorated and expired after few days.
Although diaphragmatic defects develop in cirrhotic patients, such small fenestrations do not normally lead to rapid development of life-threatening pleural effusion.
MWA procedures can cause large diaphragmatic defects.
Immediate detection of this complication is essential for initiating early intervention.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Cull, Stephanie& Khneizer, Gebran& Krishna, Abhishek& Muzaffar, Razi& Gadani, Sameer& Jamkhana, Zafar Akram. 2017. Nuclear Imaging to Detect Diaphragmatic Perforation as a Rare Complication of Microwave Ablation. Case Reports in Critical Care،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1144408
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Cull, Stephanie…[et al.]. Nuclear Imaging to Detect Diaphragmatic Perforation as a Rare Complication of Microwave Ablation. Case Reports in Critical Care No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1144408
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Cull, Stephanie& Khneizer, Gebran& Krishna, Abhishek& Muzaffar, Razi& Gadani, Sameer& Jamkhana, Zafar Akram. Nuclear Imaging to Detect Diaphragmatic Perforation as a Rare Complication of Microwave Ablation. Case Reports in Critical Care. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1144408
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1144408
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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