Evidence map›Paper›PMID 42677174›Full record

ArticleRadiology case reports2026

Life-threatening hemothorax after radiofrequency ablation for subcapsular hepatocellular carcinoma in a patient with previous rib injury.

Guan-Hua Li, Tsung-Mien Chen, Pi-Teh Huang, Yung-Wei Tung

Abstract readCase Reports
In one paragraph

Article in Radiology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Guan-Hua LiSchool of Traditional Chinese Medicine, Chang Gung University, Taiwan.
Tsung-Mien ChenInstitute of Medicine, Chung Shan Medical University, Taiwan.
Pi-Teh HuangFaculty of Medicine and Surgery, University of Santo Tomas, Philippines.
Yung-Wei TungSchool of Medicine, Taipei Medical University, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Radiofrequency ablation is a well-established treatment for early-stage hepatocellular carcinoma. Although generally safe, serious complications may occur, particularly when an intercostal approach is required. We report a rare case of life-threatening hemothorax caused by intercostal artery injury following radiofrequency ablation for a subcapsular hepatocellular carcinoma in a patient with a prior rib fracture. Approximately 1 hour after the procedure, the patient developed acute chest symptoms and hemodynamic instability. Contrast-enhanced computed tomography revealed a massive right-sided hemothorax with active extravasation from the right eighth intercostal artery. Emergent thoracoscopic surgery confirmed arterial injury adjacent to a callus-related tent-like deformity from the old rib fracture. This case highlights the potential vulnerability of intercostal vessels in patients with altered chest wall anatomy and underscores the importance of obtaining a history of prior chest trauma, reviewing available chest wall imaging when feasible, and promptly recognizing severe postablation complications.

Indexed as

Computed tomographyHemothoraxHepatocellular carcinomaIntercostal artery injuryRadiofrequency ablation

Identifiers

PMID42677174
PMCPMC13528220

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.