Yo T, Ikai I, Nakamura Y, Shimizu H, Nagamine S, Shizuki K
Nihon Geka Gakkai Zasshi. 1986 Aug;87(8):916-20.
A 70 year old man complaining of abdominal pain was admitted to our hospital and was suspected to have a gastric cancer with perforation by barium meal X-ray and by endoscopy. Ten days before, admission X-ray examination revealed the free air in the abdominal cavity but this patient didn't complain of any sign of peritonitis. He underwent left upper abdominal evisceration through upper median incision and median sternophrenicotomy. Resected specimen of the stomach had giant ulcer which looked like the gastric cancer. The pathological diagnosis of this lesion was liver cell carcinoma, Edmondson's grade 4, metastasis from the liver with lymph nodes and pancreatic involvement.
