title: Percutaneous gastrostomy tube site pain as a manifestation of liver metastases.
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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  Liver metastases should be considered in patients developing persistent abdominal pain after PEG insertion.
authors.affiliation: ENT Department, Aberdeen Royal Infirmary, Foresterhill, Aberdeen, AB25 2ZN, United Kingdom. Electronic address: miles.bannister@hotmail.co.uk.
authors.forename: M
authors.initials: M
authors.lastname: Bannister
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000556:secondary*; D005260:Female; D005773:Gastroscopy / Q000379:methods; D005774:Gastrostomy / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology*; D008875:Middle Aged; D009366:Neoplasm Seeding; D010149:Postoperative Pain / Q000209:etiology; D012720:Severity of Illness Index
keywords: Abdominal pain; Feeding; Liver metastases; Percutaneous gastrostomy; Primary of unknown origin