Abstract

A case of intraperitoneal hemorrhage after radiofrequency ablation (RFA) of hepatocellular carcinoma (HCC) was presented. Fifty-six years old male was admitted in our hospital to evaluate two hepatic masses found on ultrasonographic screening examination. With 3-phase abdominal CT, the masses were diagnosed as HCC. For the treatment, TACE was performed, but therapeutic response was inadequate, so RFA was performed. On 2nd day after RFA, he complained dizziness with hemoglobin level being lowered. Abdominal distension was aggravated, and on diagnostic paracentesis, the bloody ascites were noted. Urgent celiac angiogram was performed, but any definite bleeding focus was not found. With conservative management, his condition improved without a further decrease in following hemoglobin level. He was discharged on 20th day after RFA.

• Keywords: Radiofrequncy ablation;Peritoneal hemorrhage;Complication;Hepatocellular carcinoma