Percutaneous gastrostomy tube site pain as a manifestation of liver metastases.
Eur Ann Otorhinolaryngol Head Neck Dis 2015;
132:363-4. [PMID:
25980626 DOI:
10.1016/j.anorl.2014.11.005]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2014] [Accepted: 11/12/2014] [Indexed: 11/21/2022]
Abstract
BACKGROUND
Complications are possible following percutaneous enteral feeding in head and neck cancer patients and otolaryngologists should be aware of these as well as the possibility of liver metastases from these cancers.
CASE REPORT
A 53-year-old lady was treated by our service for metastatic squamous cell carcinoma of unknown primary origin. During radiotherapy treatment, a percutaneous endoscopic gastrostomy (PEG) tube was inserted to facilitate patient feeding. Severe abdominal pain developed and persisted around site of PEG tube insertion, the cause of which was discovered to be newly developed liver metastases from the tumor being compressed by the tube.
CONCLUSION
Liver metastases should be considered in patients developing persistent abdominal pain after PEG insertion.
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