PMID- 32272010
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200928
IS  - 2384-0293 (Print)
IS  - 2384-0293 (Electronic)
IS  - 2384-0293 (Linking)
VI  - 37
IP  - 3
DP  - 2020 Jul
TI  - Gastric cancer and adenomatous colorectal polyp concomitant with pyogenic liver 
      abscess and bacteremia.
PG  - 246-249
LID - 10.12701/yujm.2020.00094 [doi]
AB  - Synchronous gastric cancer and adenomatous colorectal polyp in patients with 
      Klebsiella pneumoniae-induced pyogenic liver abscess (KP-PLA) and bacteremia is a 
      rare presentation. A 58-year-old man with a 6-month history of diabetes mellitus 
      (DM) presented with febrile sensation and dull abdominal pain in the right upper 
      quadrant of the abdomen. Subsequent to laboratory test results and abdominal 
      computed tomography findings, KP-PLA with bacteremia was diagnosed. After 
      intravenous antibiotic administration, his symptoms improved, and upper endoscopy 
      and colonoscopy were performed to evaluate the cause of KP-PLA. Biopsy specimens 
      of the prepyloric anterior wall revealed a moderately differentiated 
      adenocarcinoma. Endoscopic mucosal resection of the colon revealed high-grade 
      dysplasia. Early gastric cancer (EGC) and adenomatous colorectal polyps with 
      high-grade dysplasia concomitant with KP-PLA and bacteremia were diagnosed in our 
      patient who had DM. Intravenous antibiotic treatment for KP-PLA, subtotal 
      gastrectomy for EGC, and colonoscopic mucosal resection for the colon polyp were 
      performed. After 25 days of hospitalization, subtotal gastrectomy with adjacent 
      lymph node dissection was performed. Follow-up ultrasound imaging showed 
      resolution of the abscess 5 weeks post-antibiotic treatment, as well as no tumor 
      metastasis. Upper gastrointestinal endoscopy and colonoscopy should be performed 
      to evaluate gastric cancer in patients with PLA or bacteremia, accompanied with 
      DM or an immunocompromised condition.
FAU - Kang, Min Kyu
AU  - Kang MK
AD  - Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, 
      Korea.
FAU - Kwon, Hee Jung
AU  - Kwon HJ
AD  - Department of Pathology, Yeungnam University Hospital, Daegu, Korea.
FAU - Kim, Min Cheol
AU  - Kim MC
AD  - Department of Internal Medicine, Yeungnam University Hospital, Daegu, Korea.
LA  - eng
GR  - Yeungnam University/
PT  - Case Reports
DEP - 20200410
PL  - Korea (South)
TA  - Yeungnam Univ J Med
JT  - Yeungnam University journal of medicine
JID - 101590467
PMC - PMC7384915
OTO - NOTNLM
OT  - Adenomatous polyps
OT  - Klebsiella pneumoniae
OT  - Pyogenic liver abscess
OT  - Stomach cancer
COIS- Conflicts of interest No potential conflict of interest relevant to this article 
      was reported.
EDAT- 2020/04/10 06:00
MHDA- 2020/04/10 06:01
PMCR- 2020/04/10
CRDT- 2020/04/10 06:00
PHST- 2020/02/27 00:00 [received]
PHST- 2020/03/25 00:00 [accepted]
PHST- 2020/04/10 06:00 [pubmed]
PHST- 2020/04/10 06:01 [medline]
PHST- 2020/04/10 06:00 [entrez]
PHST- 2020/04/10 00:00 [pmc-release]
AID - yujm.2020.00094 [pii]
AID - yujm-2020-00094 [pii]
AID - 10.12701/yujm.2020.00094 [doi]
PST - ppublish
SO  - Yeungnam Univ J Med. 2020 Jul;37(3):246-249. doi: 10.12701/yujm.2020.00094. Epub 
      2020 Apr 10.