[A case of subcapsular liver abscess secondary to perforating ulcer of gastric cancer].
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.
Jung
Hyun Gwang
HG
Division of Gastroenterology, Department of Internal Medicine, Wallace Memorial Baptist Hospital, Busan, Korea. anti217@paran.com
Kim
Do Hyeong
DH
Lee
Chang Hun
CH
D016099:Endoscopy, Gastrointestinal; D005260:Female; D006801:Humans; D007711:Klebsiella pneumoniae / Q000302:isolation & purification; D008100:Liver Abscess / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D008875:Middle Aged; D010439:Peptic Ulcer Perforation / Q000150:complications* / Q000175:diagnosis; D013274:Stomach Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed