[A case of perforated advanced gastric carcinoma accompanied with single liver metastases, who underwent total gastrectomy and hepatectomy of caudate lobe after drainage operation of peritonitis].

A 64-year-old male was referred to our hospital from another hospital for acute abdomen. Emergency laparotomy was performed to confirm an upper gastrointestinal tract perforation. He was diagnosed as a gastric perforation and peritonitis due to a suspected gastric cancer. He underwent omental implantation and peritoneal drainage for peritonitis. Histopathological examination revealed a perforated gastric carcinoma. After the surgery, a liver metastasis was found on the findings of the enhanced abdominal CT scan. Twenty-one days after the emergency surgery, he underwent total gastrectomy with lymphatic dissection and hepatectomy. Eighteen days after the curative surgery, he started to receive postoperative adjuvant chemotherapy. He has been well without recurrence for 2 years and half following the start of chemotherapy.