Liver abscesses associated with stromal tumour of the stomach in a young woman.
A 23-year-old Japanese woman was admitted to hospital because of pyrexia and anaemia. She was found to have liver abscesses and a gastric submucosal mass by computed tomography and ultrasonography. Gastroscopy and a barium swallow revealed a round submucosal mass with a giant ulceration in the body of the stomach. The liver abscesses were successfully treated by percutaneous transhepatic drainage and intravenous administration of antibiotics. Cultures of the fluid from a liver abscess and gastric juice yielded alpha-haemolytic streptococci. Three weeks after the drainage, partial gastrectomy was performed. The tumour was diagnosed as a stromal tumour of the stomach (leiomyosarcoma) in the final histological report. The patient was discharged on postoperative day 17 without receiving adjuvant radio-chemotherapy. There have been no signs of recurrence two years after surgery. This is a rare case of a liver abscess associated with a stromal tumour of the stomach in a young patient. The bacteriological examinations suggested a possible association between these diseases.
Matsutani
T
T
Department of Surgery I, Nippon Medical School, Tokyo, Japan. MatsutaniTakeshi@aol.com
Onda
M
M
Miyashita
M
M
Hao
K
K
Yokoyama
S
S
Matsuda
T
T
Futami
R
R
Takubo
K
K
Sasajima
K
K
D000328:Adult; D002175:Candida / Q000302:isolation & purification; D018572:Disease-Free Survival; D005260:Female; D006801:Humans; D007890:Leiomyosarcoma / Q000150:complications* / Q000601:surgery; D008100:Liver Abscess / Q000150:complications* / Q000382:microbiology* / Q000628:therapy; D008837:Micrococcus / Q000302:isolation & purification; D009343:Neisseria / Q000302:isolation & purification; D013274:Stomach Neoplasms / Q000150:complications* / Q000601:surgery; D013297:Streptococcus pyogenes / Q000302:isolation & purification; D016896:Treatment Outcome