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ID 54817
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Author
Gobara, Hideo Department of Radiology,Okayama University Hospital ORCID Kaken ID publons researchmap
Hiraki, Takao Department of Radiology,Okayama University Hospital Kaken ID publons researchmap
Iguchi, Toshihiro Department of Radiology,Okayama University Hospital
Fujiwara, Hiroyasu Department of Radiology,Okayama University Hospital ORCID Kaken ID researchmap
Nagasaka, Takeshi Department of Gastroenterological Surgery, Okayama University Hospital ORCID Kaken ID publons researchmap
Kishimoto, Hiroyuki Department of Gastroenterological Surgery, Okayama University Hospital Kaken ID
Tanaka, Takehiro Department of Pathology, Okayama University Hospital Kaken ID publons
Kanazawa, Susumu Department of Radiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science Kaken ID publons
Abstract
An 87-year-old Japanese man underwent percutaneous cryoablation (PCA) therapy for his renal cell tumor. We displaced the colon from the tumor using hydrodissection. Computed tomography (CT) immediately after PCA was indicative of iceball extension to the colon wall, and a discontinuous enhancement of the colon wall was observed. We therefore performed an emergency surgery. On laparotomy, we observed a dark-purple area on the affected area of the colon, and the resected specimen showed focal, deep ulceration on the mucosal surface. Photomicrography revealed mucosal necrosis, submucosal hemorrhage, and necrotic foci in the muscularis propria, corresponding to the discontinuous colon wall enhancement on CT and the deep ulceration and dark-purple area on laparotomy. He recovered from surgery and was discharged without any complications.
Keywords
bowel injury
complication
cryoablation
renal cell carcinoma
thermal ablation
Amo Type
Case Report
Published Date
2016-12
Publication Title
Acta Medica Okayama
Volume
volume70
Issue
issue6
Publisher
Okayama University Medical School
Start Page
511
End Page
514
ISSN
0386-300X
NCID
AA00508441
Content Type
Journal Article
language
英語
Copyright Holders
CopyrightⒸ 2016 by Okayama University Medical School
File Version
publisher
Refereed
True
PubMed ID