Abstract
A 64-year-old man was admitted to our hospital because of epigastralgia and pyrexia. An abdominal enhanced CT showed a liver tumor, 7 cm in diameter in segment 4, with portal vein thrombosis in the umbilical portion. Although the presence of high grade fever and positive blood culture for Klebsiella. pneumoniae suggested a diagnosis of liver abscess, serum AFP level of 215ng/ml and PIVKA II level of 777mAU/ml indicated the diagnosis of liver cancer. After the treatment of bacteremia by intravenous administration of antibiotics, an extended left hemihepatectomy was performed with curative intention. After 7 months from the operation, the patient died of recurrent disease with little response to chemotherapy.
