Double Gastric Cancer with a Liver Abscess—A Case Report—

Abstract

A 64-year-old woman was transferred to the emergency room of our hospital with fever and treated once with an intravenous transfusion. Three days later, she was admitted for continuous fever due to a liver abscess in the lateral segment demonstrated by computed tomography. Blood culture revealed infection by Klebsiella pneumoniae, and she was treated with antibiotics. Since she had no biliary disorders, examination of the gastrointestinal (GI) tract was done to determine the source of the bacteria. There was no disease in the lower GI tract, but double gastric cancer was found in the upper GI tract. Distal gastrectomy was done 26 days after discharge following recovery from the liver abscess. Pathological examination showed type 2 advanced cancer surrounded with type IIa early cancer in the angle and type IIc early cancer in the antrum of the stomach. Destruction of the mucosal barrier by gastric cancer may have allowed bacteria to enter the portal blood stream, causing the liver abscess. It is important to perform a close examination of the entire GI tract in cases of liver abscess without biliary disorders.