A Case of Incarcerated Diaphragmatic Hernia with Obstructive Jaundice after Radiofrequency Ablation

Abstract

The patient was a 49-year-old man with a history of several treatments for hepatocellular carcinoma by radiofrequency ablations and transcatheter arterial chemoembolization. He was admitted to our hospital with obstructive jaundice (T-bil 16.2 mg/dl) and he had multiple tumors in the right hepatic lobe. A CT scan showed that the right hepatic lobe, colon, small intestine and duodenum were elevated into the right pleural cavity, and dilatation of the intrahepatic bile duct was revealed. After reduction of jaundice by endoscopic nasobiliary drainage, right lobectomy was performed for recurrence of hepatocellular carcinoma and simultaneous repair of diaphragmatic hernia. The present case is an extremely rare report of incarcerated diaphragmatic hernia with obstructive jaundice after radiofrequency ablation.