[A case of advanced gastric cancer with liver abscesses]
Mitsuru Okuno1, Seiji Adachi, Noriaki Nakamura
1Gastroenterology, Gihoku Kousei Hospital, Japan. mkobdkl@yahoo.co.jp
Abstract:
A man visited to our hospital because of high grade fever. Computed tomography revealed multilocular space occupying lesion which were suspected liver abscess. Upper gastrointestinal endoscopy showed an advanced gastric cancer with an ulcer on antrum. Antibiotics decreased the level of CRP, concurrently with the reduction of liver space occupying lesion. While he underwent distal gastrectomy, pathological examination demonstrated the existence of bacterial foci and microabscesses on the surface of the gastric cancer. We speculate in this case that liver abscesses were formed by the infection of resident bacteria through portal vein.
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