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A 66-year-old man was referred with advanced gastric adenocarcinoma that had grown into the pancreatic head. Imaging also showed tumor involvement around important hepatic arteries. He underwent a pancreaticoduodenectomy with removal of the involved arterial branches and vascular reconstruction. Pathology showed adenocarcinoma extending through the stomach wall with regional lymph-node involvement.
Soon after surgery, he developed extensive necrosis in the left side of the liver and septic shock. His condition was too poor for liver resection, so the complication was managed conservatively. He recovered and was discharged 53 days after the operation. Adjuvant chemotherapy was not given.
During follow-up, his liver function remained normal. CT performed 1 year after surgery showed atrophy of the affected liver segment but no recurrence of the gastric cancer.
This is a lay summary of an account first published by PMC / PubMed Central. Read the original in full
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