@article{oai:u-ryukyu.repo.nii.ac.jp:02015985,
 author = {Miyahira, Takumi and Yamada, Mamoru and Miyazato, Hiroshi and Shiraishi, Masayuki and Kusano, Toshiomi and Muto, Yoshihiro},
 issue = {3},
 journal = {琉球医学会誌 = Ryukyu Medical Journal},
 month = {},
 note = {A case of gas gangrene of the liver following neoadjuvant chemotherapy and surgery for recurrent gastric cancer in a 67-years-old female is reported. She was operated on for advanced gastric carcinoma (partial distal gastrectomy) (stage IV) one year prior to this admission. Upper gastrointestinal series demonstrated a large mass (4.5×5.0cm) around the gastroduodenostomy site. Abdominal CT scan revealed several enlarged lymph nodes around the aorta. On May 17, 1994 after completion of neoadjuvant chemotherapy, pancreaticoduodenectomy and partial distal gastrectomy with node dissection, and intra-operative irradiation were performed. On the 7th postoperative day, a pus from pancreaticojejunostomy leakage was observed. Its culture generated E.coli and Staphylococcus aureus (MRSA). On the 17th day, the patient deteriorated. High fever, leukocytosis and jaundice were observed. On the 21th day, a plain abdominal radiograph showed mottled gas pattern in the liver and CT revealed large low density lesion within the liver. She expired with clinical manifestation of DIC (disseminated intravascular coagulopathy) 24 days after surgery., 論文},
 pages = {139--142},
 title = {[症例報告]Gas gangrene of the liver following surgery for recurrent gastric carcinoma : A case report},
 volume = {15},
 year = {1995}
}