Jung Hyun Gwang, Kim Do Hyeong, Lee Chang Hun
Division of Gastroenterology, Department of Internal Medicine, Wallace Memorial Baptist Hospital, Busan, Korea.
Korean J Gastroenterol. 2010 Aug;56(2):109-13. doi: 10.4166/kjg.2010.56.2.109.
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.
肝内脓肿是消化性溃疡疾病的一种罕见并发症。我们报告一例胃癌病例，其中溃疡穿透至肝左叶，随后形成脓肿和瘘管。食管胃十二指肠镜检查证实存在溃疡及胃窦部的瘘口。腹部计算机断层扫描显示胃窦部附近有一个肝包膜下脓肿。行胃次全切除术并刮除瘘管。最终诊断为印戒细胞型胃癌并发肝包膜下脓肿。据我们所知，这是韩国首例报告病例。
