The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Epidural Abscess after Implantation of Epidural Port in Cancer Pain Patient -A case report-

암성통증 환자에서 경막외 포트 이식 후 발생한 경막외 농양 -증례보고-

  • Lee, Seung Yun (Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital) ;
  • Kang, Mae Hwa (Department of Anesthesiology, Seoul National University College of Medicine) ;
  • Kim, Yang Hyun (Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital) ;
  • Lee, Pyung Bok (Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital)
  • 이승윤 (분당서울대학교병원 마취통증의학과) ;
  • 강매화 (서울대학교 의과대학 마취과학교실) ;
  • 김양현 (분당서울대학교병원 마취통증의학과) ;
  • 이평복 (분당서울대학교병원 마취통증의학과)
  • Received : 2006.09.26
  • Accepted : 2006.12.01
  • Published : 2006.12.30
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Abstract

A case of an epidural abscess, a rare but possibly devastating complication of epidural instrumentation and catheterization, which occurred in a cancer pain patient with an epidural port connected to the epidural catheter, is described. Although cases of a catheter related epidural abscess have been intermittently reported, those following epidural port implantation are very rare, with no case having been reported in Korea. Herein, the case of a 31-year-old man, who developed an epidural abscess 54 days after subcutaneous implantation of an epidural port connected to an epidural catheter, is reported. Methicillin-sensitive staphylococcus aureus was detected in a culture of the purulent discharge. Magnetic resonance imaging was essential, not only for the diagnosis of the epidural abscess, but also for determining the extent of spread. The patient refused further evaluation and treatment, and expired 22 days later.

Keywords

References

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