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Presentation of Gastric Adenocarcinoma with Acute Arterial Occlusive Disease, Nonbacterial Thrombotic Endocarditis and Pyogenic Liver Abscess

Abstract

Johannes Doerner, Philip Boehme, Hubert Zirngibl and Gabriele Woebker

Fatal outcome at early presentation of cancer is rare. Here, a case is discussed of a 53 year old female that presented with an acute onset of left lower extremity pain with paleness, pulselessness, abdominal cramps and vomiting that had been present for several weeks. Rapid evaluation led to the initial diagnosis of metastasized gastric cancer that had evolved to hepatic abscedation and aortic valve endocarditis. The patient rapidly developed severe sepsis with multiple organ failure and died 48 hours after presentation.