Journal of Yeungnam Medical Science

Yeungnam University College of Medicine, Yeungnam University Institute Medical Science (영남대 의대 학술지 편집위원회)
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Intraabdominal abscess mimicking gastric cancer recurrence: a case report

  • Yong-Eun Park (Department of Surgery, Yeungnam University College of Medicine)
  • Received : 2022.11.10
  • Accepted : 2022.12.12
  • Published : 2023.10.31
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Abstract

Surgical site infection is a common healthcare-associated infection that rarely occurs several months after surgery. Herein, a case is described in which an abdominal mass lesion was found at a 6-month follow-up visit after gastrectomy was performed for early gastric cancer. Positron emission tomography-computed tomography revealed a 2.5 cm-sized mass with a high maximal standard uptake value (8.32), located above a previous anastomosis site. Locoregional recurrence of gastric cancer was diagnosed by multidisciplinary team discussion, and explorative laparotomy was performed. However, surgical and pathologic findings revealed that the mass was an intraabdominal abscess. In conclusion, differential diagnosis of delayed abscess formation should be considered if the possibility of tumor recurrence is low, especially after early gastric cancer surgery.

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References

  1. Kawai K, Sunami E, Nishikawa T, Tanaka J, Tanaka T, Kiyomatsu T, et al. Delayed abdominal wall abscess after abdomino-perineal resection simulating local recurrence of rectal cancer. Springerplus 2014;3:681.
  2. Akinboboye O, Walls S. The Mass-Querade: lung abscess mimicking primary lung cancer. Cureus 2022;14:e27725.
  3. Gundogdu N. A case of lung abscess mimicking lung cancer. J Coll Physicians Surg Pak 2021;31:1366-8. https://doi.org/10.29271/jcpsp.2021.11.1366
  4. Singh SM, Liu JL, Sedaghat F, Wethington SL, Atallah C, Kates M. Tubo-ovarian abscess: a potential mimicker of urachal malignancy. Urol Case Rep 2022;45:102191.
  5. Jeong SJ, Ann HW, Kim JK, Choi H, Kim CO, Han SH, et al. Incidence and risk factors for surgical site infection after gastric surgery: a multicenter prospective cohort study. Infect Chemother 2013;45:422-30. https://doi.org/10.3947/ic.2013.45.4.422
  6. Korol E, Johnston K, Waser N, Sifakis F, Jafri HS, Lo M, et al. A systematic review of risk factors associated with surgical site infections among surgical patients. PLoS One 2013;8:e83743.
  7. Kim JH, Heo SH, Kim JW, Shin SS, Min JJ, Kwon SY, et al. Evaluation of recurrence in gastric carcinoma: comparison of contrast-enhanced computed tomography and positron emission tomography/computed tomography. World J Gastroenterol 2017;23:6448-56. https://doi.org/10.3748/wjg.v23.i35.6448
  8. Kim KA, Park CM, Park SW, Cha SH, Seol HY, Cha IH, et al. CT findings in the abdomen and pelvis after gastric carcinoma resection. AJR Am J Roentgenol 2002;179:1037-41. https://doi.org/10.2214/ajr.179.4.1791037
  9. Lee HJ, Kim YH, Kim WH, Lee KU, Choe KJ, Kim JP, et al. Clinicopathological analysis for recurrence of early gastric cancer. Jpn J Clin Oncol 2003;33:209-14. https://doi.org/10.1093/jjco/hyg042
  10. Yoo CH, Noh SH, Shin DW, Choi SH, Min JS. Recurrence following curative resection for gastric carcinoma. Br J Surg 2000;87:236-42. https://doi.org/10.1046/j.1365-2168.2000.01360.x
  11. Behera HS, Chayani N, Bal M, Khuntia HK, Pati S, Das S, et al. Identification of population of bacteria from culture negative surgical site infection patients using molecular tool. BMC Surg 2021;21:28.
  12. Kozlov A, Bean L, Hill EV, Zhao L, Li E, Wang GP. Molecular identification of bacteria in intra-abdominal abscesses using deep sequencing. Open Forum Infect Dis 2018;5:ofy025.