2020 Volume 17 Issue 4 Pages 201-206
A 76–year–old man was referred to our hospital with a complaint of high fever. Abdominal ultrasonography showed a low echoic lesion in the liver. We diagnosed his condition as a liver abscess, and percutaneous transhepatic abscess drainage was immediately performed. Klebsiella pneumoniae was detected in the patient’s abscess fluid culture, blood and spinal fluid. The patient was suspected of having meningitis. Abdominal enhanced computed tomography revealed multiple liver abscesses, and we performed additional abscess drainage. During the course of his illness, he developed a cervical abscess, and incisional drainage was performed. To identify the origin of the liver abscesses, a full gastrointestinal study was conducted, and revealed gastric cancer and rectal cancer. A total of 168 days after the first admission, laparoscopic distal gastrectomy and low anterior resection were performed. He did not have recurrence of the liver abscesses or liver metastases of gastric cancer or rectal cancer 25 months after the operation. In an effort to identify the cause of liver abscesses, gastrointestinal examination should be performed. Thus, our report describes a case in which the patient had multiple infections including liver abscesses, bacteremia, meningitis, and a cervical abscess before surgery for gastric cancer and rectal cancer.
