A Case of Subcapsular Liver Abscess Secondary to Perforating Ulcer of Gastric Cancer.
10.4166/kjg.2010.56.2.109
- Author:
Do Hyeong KIM
1
;
Chang Hun LEE
;
Hyun Gwang JUNG
Author Information
1. Division of Gastroenterology, Department of Internal Medicine, Wallace Memorial Baptist Hospital, Busan, Korea. anti217@paran.com
- Publication Type:Case Report ; English Abstract
- Keywords:
Liver abscess;
Peptic ulcer perforation;
Gastric cancer
- MeSH:
Endoscopy, Gastrointestinal;
Female;
Humans;
Klebsiella pneumoniae/isolation & purification;
Liver Abscess/diagnosis/*etiology/microbiology;
Middle Aged;
Peptic Ulcer Perforation/*complications/diagnosis;
Stomach Neoplasms/complications/*diagnosis/surgery;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2010;56(2):109-112
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Intrahepatic abscess is an unusual complication of peptic ulcer disease. We present a case of gastric cancer in which the ulcer penetrated into the left lobe of liver with subsequent abscess and fistula formation. Esophagogastroduodenoscopy confirmed ulcers and a fistula opening in the antrum. Abdominal computed tomogram showed a subcapsular liver abscess adjacent to the gastric antrum. Subtotal gastrectomy with curettage of the fistulous tract was performed. The final diagnosis was the signet ring cell gastric carcinoma complicating subcapsular liver abscess. To our knowledge, this is the first reported case in Korea.
