[Abstract] [Full Text PDF] (in Japanese / 3056KB) [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 87(8): 916-920, 1986


Case report

A CASE OF GASTRIC PERFORATION DUE TO INVASIVE LIVER CELL CARCINOMA TO THE STOMACH

Department of Surgery, Wakayama Red Cross Hospital, Wakayama, Japan

Tadakazu Yo, Iwao Ikai, Yoshiaki Nakamura, Hiroyuki Shimizu, Shinichi Nagamine, Kozo Shizuki

A 70 year old man complaining of abdominal pain was admitted to our hospital and was suspected to have a gastric cancer with performation 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 throuph 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 parcreatic involvement.


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