A Case of Gastric Cancer was Detected on Survey of Liver Abscess

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  • HANAZONO Tadasuke
    Department of Gastroenterology, Saiseikai Shimonoseki General Hospital
  • NOGUCHI Norio
    Department of Gastroenterology, Saiseikai Shimonoseki General Hospital
  • MORI Kenji
    Department of Gastroenterology, Saiseikai Shimonoseki General Hospital
  • SAKAIDA Isao
    Gastroenterology and Hepatology(Internal Medicine I.),Yamaguchi University Graduate School of Medicine

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Other Title
  • 肝膿瘍の発症により診断し得た胃癌の１例
  • カンノウショウ ノ ハッショウ ニヨリ シンダン シエタ イガン ノ 1レイ
  • ショウレイ ホウコク カン ノウヨウ ノ ハッショウ ニ ヨリ シンダン シエタ イガン ノ 1レイ

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Abstract

A-70-year-old man complained of fever and upper abdominal pain. Computed tomography and ultrasonography of the abdomen revealed a solitary liver abscess in the anterior segment of liver. He was referred to our hospital. Abdominal MRI showed liver abscess and tumorous lesion of the stomach. Administration of antibiotics and percutaneous drainage of liver abscess was performed; then, the size of the abscess decreased. Cytology of the abscess revealed no malignant cells and Streptococcus milleri was cultured from the abscess. After the abscess diminished, we performed esophagogastroduodenoscopy and found a type 2 gastric carcinoma on the anterior wall of the angular part; therefore, distal gastrectomy was performed. Several investigators reported the association between liver abscess and colon cancer. It is thought that bacteria are transportally transferred to the liver from the mucosal injury caused by colon cancer. It might be possible that liver abscess occurs in patients with gastric cancer. In conclusion, to identify the cause of liver abscess, examinations of gastrointestinal tract should be performed.

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