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Hepatic abscess induced by gastric cancer mimicking differentiated hepatocellular carcinoma
A 58‐year‐old man was referred to our hospital with right abdominal pain. Contrast‐enhanced computed tomography (CECT) showed a rim‐enhanced lesion with a fluid collection in the right hepatic lobe. Upper gastrointestinal endoscopy revealed a Borrmann type 1 tumor on the middle gastric body, identif...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wiley Publishing Asia Pty Ltd
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10615163/ https://www.ncbi.nlm.nih.gov/pubmed/37908291 http://dx.doi.org/10.1002/jgh3.12970 |
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author | Kishimoto, Takuya Morita, Toshihiro Yazumi, Shujiro |
author_facet | Kishimoto, Takuya Morita, Toshihiro Yazumi, Shujiro |
author_sort | Kishimoto, Takuya |
collection | PubMed |
description | A 58‐year‐old man was referred to our hospital with right abdominal pain. Contrast‐enhanced computed tomography (CECT) showed a rim‐enhanced lesion with a fluid collection in the right hepatic lobe. Upper gastrointestinal endoscopy revealed a Borrmann type 1 tumor on the middle gastric body, identified as an adenocarcinoma on pathology. The patient underwent percutaneous transhepatic abscess drainage and was treated with antibiotics. Two weeks after drainage, CECT revealed shrinkage of the abscess; however, the wall showed contrast enhancement. Needle biopsy was performed for the liver tumor, and it suggested the possibility of highly differentiated hepatocellular carcinoma. The patient first underwent gastrectomy, and the liver tumor was followed with CECT. Two months after surgery, CECT revealed that the liver tumor had vanished. Liver abscesses and infectious tumors can be difficult to differentiate between; therefore, careful scrutiny is essential before treatment. |
format | Online Article Text |
id | pubmed-10615163 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Wiley Publishing Asia Pty Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-106151632023-10-31 Hepatic abscess induced by gastric cancer mimicking differentiated hepatocellular carcinoma Kishimoto, Takuya Morita, Toshihiro Yazumi, Shujiro JGH Open Case Reports A 58‐year‐old man was referred to our hospital with right abdominal pain. Contrast‐enhanced computed tomography (CECT) showed a rim‐enhanced lesion with a fluid collection in the right hepatic lobe. Upper gastrointestinal endoscopy revealed a Borrmann type 1 tumor on the middle gastric body, identified as an adenocarcinoma on pathology. The patient underwent percutaneous transhepatic abscess drainage and was treated with antibiotics. Two weeks after drainage, CECT revealed shrinkage of the abscess; however, the wall showed contrast enhancement. Needle biopsy was performed for the liver tumor, and it suggested the possibility of highly differentiated hepatocellular carcinoma. The patient first underwent gastrectomy, and the liver tumor was followed with CECT. Two months after surgery, CECT revealed that the liver tumor had vanished. Liver abscesses and infectious tumors can be difficult to differentiate between; therefore, careful scrutiny is essential before treatment. Wiley Publishing Asia Pty Ltd 2023-09-19 /pmc/articles/PMC10615163/ /pubmed/37908291 http://dx.doi.org/10.1002/jgh3.12970 Text en © 2023 The Authors. JGH Open published by Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Reports Kishimoto, Takuya Morita, Toshihiro Yazumi, Shujiro Hepatic abscess induced by gastric cancer mimicking differentiated hepatocellular carcinoma |
title | Hepatic abscess induced by gastric cancer mimicking differentiated hepatocellular carcinoma |
title_full | Hepatic abscess induced by gastric cancer mimicking differentiated hepatocellular carcinoma |
title_fullStr | Hepatic abscess induced by gastric cancer mimicking differentiated hepatocellular carcinoma |
title_full_unstemmed | Hepatic abscess induced by gastric cancer mimicking differentiated hepatocellular carcinoma |
title_short | Hepatic abscess induced by gastric cancer mimicking differentiated hepatocellular carcinoma |
title_sort | hepatic abscess induced by gastric cancer mimicking differentiated hepatocellular carcinoma |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10615163/ https://www.ncbi.nlm.nih.gov/pubmed/37908291 http://dx.doi.org/10.1002/jgh3.12970 |
work_keys_str_mv | AT kishimototakuya hepaticabscessinducedbygastriccancermimickingdifferentiatedhepatocellularcarcinoma AT moritatoshihiro hepaticabscessinducedbygastriccancermimickingdifferentiatedhepatocellularcarcinoma AT yazumishujiro hepaticabscessinducedbygastriccancermimickingdifferentiatedhepatocellularcarcinoma |