Highlights
Case of spontaneous bacterial peritonitis associated with
E. tarda
infection.
The patient had Child–Pugh A cirrhosis secondary to hepatitis C virus infection.
Surgical findings included redness and thickening of the cecal wall.
Purulent ascites without intestinal contents was observed.
E. tarda
infection has a poor prognosis in patients with underlying disease.
Highlights
Adrenal metastasis is usually associated with systemic spread of the disease and is considered to be unsuitable for surgical resection.
Adrenalectomy should be considered in patients who can undergo complete resection.
Adrenalectomy may offer a better long-term prognosis.
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