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A 66-year-old woman was referred with advanced gastric adenocarcinoma that had invaded the pancreatic head. Imaging showed that metastatic regional lymph nodes encased a small hepatic arterial branch. She underwent pancreaticoduodenectomy with removal of the involved artery. Pathology confirmed gastric adenocarcinoma with regional lymph-node involvement.
Within the first week after surgery, she developed liver necrosis and septic shock. On postoperative day 7, surgeons removed the necrotic lateral segment of the liver and placed external biliary drainage. She recovered quickly and was discharged 38 days after the original operation. Adjuvant chemotherapy was not administered.
Her liver function remained normal during follow-up. CT at 6 months showed a normal remaining liver and 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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These are lay summaries of published cancer stories, for information only. No two cancers behave the same way, and nothing here predicts your own diagnosis or replaces advice from your oncology team. Read the full disclaimer