A Case of Epidural Abscess Occurred after Liver Abscess Complicated by Transarterial Chemoembolization in a Patient with Metastatic Cancer to Liver / 대한소화기학회지
The Korean Journal of Gastroenterology
;
: 225-229, 2013.
Article
in Korean
| WPRIM
| ID: wpr-80215
ABSTRACT
Transarterial chemoembolization (TACE) is one of the most effective therapies for unresectable hepatocelluar carcinoma or metastatic hypervascular tumors. Abscess occurring in the other organs beside the liver after TACE is a complication that often occurs, sometimes potentially fatal. We report a case of spinal epidural abscess occurred after liver abscess complicated by TACE in a patient with metastatic neuroendocrine tumors to the liver. A 67-year-old female underwent TACE first for the metastatic lesions to liver, with a history of pancreatoduodenectomy for the primary pancreatic neuroendocrine tumor. Four days after TACE, sudden high fever occurred, and liver abscess was found on abdominal CT. Two days later, back pain and radiating pain to the right leg occurred, and lumbar spine MRI showed spinal epidural abscess. After intravenous antibiotics for 8 weeks and partial laminectomy, the patient recovered and was discharged without complications.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Magnetic Resonance Imaging
/
Tomography, X-Ray Computed
/
Pancreaticoduodenectomy
/
Chemoembolization, Therapeutic
/
Neuroendocrine Tumors
/
Carcinoma, Hepatocellular
/
Epidural Abscess
/
Escherichia coli
/
Escherichia coli Infections
/
Laminectomy
Limits:
Aged
/
Female
/
Humans
Language:
Korean
Journal:
The Korean Journal of Gastroenterology
Year:
2013
Type:
Article
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