Abdominal Wall Abscess after Prophylactic Percutaneous Endoscopic Gastrostomy Placement in a Patient Undergoing Chemoradiotherapy for Laryngeal Cancer

DEN Open 2026 Open access

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Authors: Ryuji Okamoto, Hironori Sunakawa, Yuji Owaki, Hiroaki Oka, Yuta Hoshi, Susumu Okano, Tomonori Yano
DOI: 10.1002/deo2.70259
Cited by: 0
References: 5

Abstract

Prophylactic percutaneous endoscopic gastrostomy (PEG) placement for nutritional management prior to chemoradiotherapy is a common procedure in patients with head and neck cancer, for which serious complications are rare. Herein, we present a case of abdominal wall abscess that developed 12 days following prophylactic PEG placement in a patient with laryngeal cancer. This rare complication was initially difficult to diagnose due to subtle abdominal symptoms. In this case, antibiotic treatment alone was inadequate, necessitating drainage tube insertion. This case highlights that delayed diagnosis can lead to necrotizing fasciitis, a potentially fatal condition that should be considered in the differential diagnosis.

Fields of Study & Subjects

Clinical Nutrition and Gastroenterology Central Venous Catheters and Hemodialysis Otolaryngology and Infectious Diseases

Publication details

Journal / source
DEN Open
Volume
6
Issue
1
Pages
e70259–e70259
Publication date
16 February 2026
Language
EN