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author:("merikle, E M")
1.  Spontaneous cholecystocolic fistula and locoregional liver tumour ablation: a cautionary tale 
The British Journal of Radiology  2011;84(1008):e243-e245.
A liver abscess is a feared and potentially fatal complication following transarterial chemoembolisation (TACE) and radiofrequency ablation (RFA) of liver tumours. Iatrogenic bilio-enteric communications, such as bilio-enteric anastomosis, sphincterotomy and biliary stents, are considered major risk factors and are due to bacterial colonisation of the biliary tree with enteric flora. Naturally occurring spontaneous cholecysto-enteric fistula poses a similar risk as its iatrogenic counterparts but is rarely described in the literature. We present a case where abscess formation complicated a combined TACE and RFA in an unrecognised cholecystocolic fistula.
doi:10.1259/bjr/13919678
PMCID: PMC3473819  PMID: 22101592

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