肝膿ようを合併した下行結腸癌の１例

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  • A Case of Descending Colon Cancer Accompanied by Liver Abscess

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We experienced a case of descending colon cancer accompanied by liver abscess. A 73-year-old man, who had been treated for chronic alcoholic pancreatitis, was admitted to our hospital because of pyrexia and vomiting and abdominal pain. Abdominal ultrasonography (US) and computed tomography (CT) showed a cystic mass of size 5 X 7 cm in the right lobe of the liver.<BR>From the examination and clinical findings, we diagnosed his condition as liver abscess, and treatment was immediately started with antibiotics and percutaneous transhepatic abscess drainage (PTAD). Barium enema, which was performed for the evaluation of anemia, revealed a so-called "apple core lesion" in the descending colon. Colonoscopic examination confirmed colon cancer of well differentiated adenocarcinoma on biopsy. Resection of the descending colon was carried out after improvement of the liver abscess. The resected specimen revealed H0, P0, N0, in Stage II, ss, n0, lyl, v1 microscopically. Abdominal US and CT were valuable for the diagnosis of liver abscess and PTAD was highly effective for treating liver abscess.<BR>Reports of colon cancer accompanied by liver abscess are rare, but it is important to conduct a full gastrointestinal study for the treatment of liver abscess.

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