19860006 Visualization

A 72 Age - year Age - old Age woman Sex underwent RF Therapeutic_procedure ablation Therapeutic_procedure for the treatment of a metachronous Detailed_description solitary Detailed_description liver Biological_structure metastasis Disease_disorder from rectal Biological_structure adenocarcinoma Disease_disorder , which had been treated Clinical_event 18 Date mo Date before Date with preoperative Detailed_description chemoradiotherapy Medication and anterior Therapeutic_procedure resection Therapeutic_procedure .
The lesion Coreference was located in segment Biological_structure VIII Biological_structure .
The procedure Coreference went well Lab_value and the patient was initially haemodynamically Diagnostic_procedure stable Lab_value .
One Time hour Time later Time her condition Diagnostic_procedure suddenly Severity worsened Severity .
She was clinically dizzy Sign_symptom and had fatigue Sign_symptom and pallor Sign_symptom .
We detected hypotension Sign_symptom and tachycardia Sign_symptom .
Emergency blood Diagnostic_procedure tests Diagnostic_procedure showed a haemoglobin Diagnostic_procedure level Diagnostic_procedure of < Lab_value 7 Lab_value g/dL Lab_value and markedly elevated Lab_value transaminase Diagnostic_procedure levels Diagnostic_procedure .
A computed Diagnostic_procedure tomography Diagnostic_procedure examination Diagnostic_procedure revealed an accumulation of intraperitoneal Biological_structure fluid Biological_structure in the pelvis Biological_structure and two Lab_value liver Biological_structure haematomas Disease_disorder .
The images Coreference showed two Lab_value liver Biological_structure lacerations Sign_symptom , one Detailed_description following Detailed_description the Detailed_description path Detailed_description of Detailed_description the Detailed_description needle Detailed_description (Figure ​(Figure1A1A-​-C)C) and another, unexplained Detailed_description laceration Detailed_description leading Detailed_description away Detailed_description from Detailed_description the Detailed_description first Detailed_description (Figure ​(Figure2).2).
The patient had no serious coughing Sign_symptom or hiccupping Sign_symptom after the RF Coreference treatment Coreference , or any other complications that might have caused increased abdominal pressure and tumour rupture.
Subsequently, the patient received a blood Therapeutic_procedure transfusion Therapeutic_procedure and close Diagnostic_procedure monitoring Diagnostic_procedure .
She was haemodynamically Diagnostic_procedure stable Lab_value after the second Lab_value blood Therapeutic_procedure transfusion Therapeutic_procedure and completely Sign_symptom recovered Sign_symptom 24 Time h Time later Time .
The patient remained Activity in Activity bed Activity for 1 Duration wk Duration .
No surgical Therapeutic_procedure intervention Therapeutic_procedure was required.