Journal of Gastric Cancer  2013;13(2):126-128

doi:10.5230/jgc.2013.13.2.126

A Case of Sudden Onset Septicemia in Recurred Gastric Cancer Following S1 Plus Docetaxel Treatment.

Sumiya ISHIGAMI 1 ; Takaaki ARIGAMI ; Yoshikazu UENOSONO ; Yasuto UCHIKADO ; Yoshiaki KITA ; Ken SASAKI ; Hiroshi OKUMURA ; Hiroshi KURAHARA ; Yuko KIJIMA ; Akihiro NAKAJO ; Kosei MAEMURA ; Shoji NATSUGOE

Affiliations

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Keywords

Liver abscess, pyogenic; Sepsis; Stomach neoplasms; Anticancer drug; Immunodeficiency; Hepatectomy

Country

Republic of Korea

Language

English

Abstract

Pyogenic liver abscess in patients with malignant disease is a fatal state and is easily diagnosed. We presented a rare case of sudden fatal septicemia following anticancer treatment for recurred gastric cancer due to multiple liver abscesses which could not be diagnosed. A 72-year-old male with recurred gastric cancer received anticancer agents. He had a history of distal gastrectomy with right hepatic lobectomy for hepatic metastasis. He received anticancer treatment in the outpatient's service center periodically, and his performance status was preserved with nothing in particular. After administrating docetaxel, he suddenly developed septicemia and multiple organ failure and died 5 days after strong medical supports. Pathological autopsy revealed that multiple minute abscesses of the liver which could not be detected macroscopically were the causes of fatal septicemia. The etiology, therapies and prognosis of rare entity are being discussed.