Koga F, Goto S, Suzuki S
Department of Urology, Hamamatsu Medical Center.
Hinyokika Kiyo. 1996 Jun;42(6):443-6.
Transcatheter arterial embolization (TAE) has been commonly used in the treatment of renal cancer. Postembolization syndrome consisting of fever, flank pain and gastrointestinal symptoms is encountered in almost every case. We report a case of E. coli-induced retroperitoneal abscess accompanied by intraabdominal free air which developed three weeks after TAE in a 59-year-old woman with T4N0M0 renal cancer. No fistula between abscess and gastrointestinal tract could be demonstrated by gastrofiberscopy and barium enema. Urine culture just before TAE should be examined to avoid such a complication.
经导管动脉栓塞术（TAE）已普遍用于肾癌治疗。几乎每例患者都会出现由发热、胁腹疼痛和胃肠道症状组成的栓塞后综合征。我们报告一例大肠杆菌引起的腹膜后脓肿病例，伴有腹腔内游离气体，该病例发生在一名患有T4N0M0肾癌的59岁女性患者TAE术后三周。通过胃镜检查和钡灌肠未发现脓肿与胃肠道之间存在瘘管。应检查TAE术前的尿培养，以避免出现此类并发症。
