2019 Volume 80 Issue 5 Pages 887-892
A rare case of advanced gastric cancer that presented with a liver abscess is reported.
A 67-year-old woman was admitted to our hospital because of high fever. Abdominal computed tomography showed a liver abscess in the right hepatic lobe and wall thickening of the gastric antrum. Blood culture showed infection by Klebsiella pneumoniae, and she was treated with antibacterial drugs and percutaneous drainage of the liver abscess, after which the size of the liver abscess decreased. Klebsiella pneumoniae was cultured from the abscess. Upper gastrointestinal endoscopy showed an advanced gastric cancer with an ulcer on the antrum. After the abscess diminished, distal gastrectomy and D2 lymph node dissection were performed. Klebsiella pneumoniae was cultured from the cancer lesion. At 38 months after the operation, she has remained free from recurrence of the hepatic abscess and the gastric cancer.
In a case of liver abscess, it is important to as much as possible perform a complete gastrointestinal examination.
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
