[A case of sigmoid colon cancer liver metastasis accompanied by multiple liver abscesses].
We describe the case of a patient with sigmoid colon cancer liver metastasis accompanied by multiple liver abscesses. The 59-year-old female patient presented with a fever at a body temperature of 39.0°C. On abdominal computed tomography (CT), multiple liver abscesses were detected, and percutaneous transhepatic abscess drainage (PTAD) was performed. The day after the PTAD, the patient's fever subsided and her inflammatory response abated. A lower gastrointestinal examination, performed to identify the origin of her symptoms, revealed a type 1 tumor in the sigmoid colon. A biopsy indicated a moderately differentiated adenocarcinoma. Prior to surgery, a second abdominal CT scan was performed, and a single liver metastasis was detected. Laparoscopic sigmoidectomy and partial liver resection were simultaneously performed. The histopathological diagnosis of the colon cancer was tub2, pN1, pH1, P0, ly1, v1, stage IV. To date, the patient remains free from hepatic abscess and colon cancer recurrence. Gastrointestinal examinations should be performed as early as possible to identify the cause of hepatic abscesses. Moreover, therapeutic decisions should only be made after imaging and examinations have been performed, which will be sufficient to identify the presence of liver metastases.
Dept. of Surgery, Nishinomiya Municipal Central Hospital.
Masakazu
M
Murakami
Yasuhiro
Y
Miyake
Hisashi
H
Uemura
Kaoru
K
Okada
Shigeru
S
Nakane
Naozumi
N
Higaki
Hirohito
H
Hayashida
Yoshio
Y
Oka
Riichiro
R
Nezu
D000230:Adenocarcinoma / Q000556:secondary* / Q000601:surgery; D005260:Female; D006801:Humans; D008100:Liver Abscess / Q000209:etiology* / Q000628:therapy; D008113:Liver Neoplasms / Q000556:secondary* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D064847:Multimodal Imaging; D012811:Sigmoid Neoplasms / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed