A Case of Advanced Gastric Cancer Concomitant with Pyogenic Liver Abscess in the Patient with Subtotal Gastrectomy

Dong-Hee Park; Nae-Yun Heo; Heon Sa-Kong; Na-Ri Jeong; Su-Jin Jeong; Sung Jin Oh; Kyung Han Nam

doi:10.4166/kjg.2017.69.2.143

Journal List > Korean J Gastroenterol > v.69(2) > 1007617

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Park, Heo, Sa-Kong, Jeong, Jeong, Oh, and Nam: A Case of Advanced Gastric Cancer Concomitant with Pyogenic Liver Abscess in the Patient with Subtotal Gastrectomy

Case Report

Korean J Gastroenterol 2017;69(2):143-146.

Published online: 4 October 2017

DOI: https://doi.org/10.4166/kjg.2017.69.2.143

A Case of Advanced Gastric Cancer Concomitant with Pyogenic Liver Abscess in the Patient with Subtotal Gastrectomy

Dong-Hee Park, Nae-Yun Heo, Heon Sa-Kong¹, Na-Ri Jeong², Su-Jin Jeong, Sung Jin Oh¹, Kyung Han Nam²

Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea

¹Department of Surgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea

²Department of Pathology, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea

Correspondence to: Nae-Yun Heo, Department of Internal Medicine, Haeundae Paik Hospital, Inje University College of Medicine, 875 Haeundae-ro, Haeundae-gu, Busan 48108, Korea. Tel: +82-51-797-0661, Fax: +82-51-797-0941, E-mail: nyheo@hanmail.net

Received 25 November 2016 Revised 19 December 2016 Accepted 27 December 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The hematogenous spreading of an infectious pathogen via the portal vein from a mucosal injury in the gastrointestinal tract has been considered as one of the pathologic mechanisms of pyogenic liver abscess. Several studies have presented the association between colorectal cancer and pyogenic liver abscess. However, the cases of stomach cancer concomitant with pyogenic liver abscess have rarely been reported in the world. Herein, we present a case of advanced gastric cancer concomitant with pyogenic liver abscess in a patient who previously underwent subtotal gastrectomy due to peptic ulcer perforation.

Keywords: Stomach neoplasms, Liver abscess, pyogenic, Subtotal gastrectomy

References

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Fig. 1.

Initial abdominal CT showed a 4.1×4.8 cm sized low attenuated lesion with peripheral hyperemic change in the right lobe of the liver in the portal phase. CT, computed tomography.

Fig. 2.

Esophagogastroduodenoscopy showed an ulcero-fungating mass on the anterior wall of the middle body of the remnant stomach.

Fig. 3.

(A) In the surgical pathology of the resected stomach, a luminal surface was replaced by the protruding tumor mass on the right side of the arrow (H&E stain, ×40). (B) On the magnfied view for the tumor mass, the poorly differentiated adenocarcinoma with distorted glandular formation (H&E stain, ×100).

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