患者,男性,53岁,上腹不适,持续性疼痛1月余.查体:上腹可触及一肿物,大小10cm×10cm×10cm,活动差,肝脾未及,腹水征(一).辅助检查,B超:肝多发性占位;胃镜:胃窦部肿物,考虑为粘液腺癌;结肠镜:结肠多发性息肉.手术:结肠回盲部见一5cm×5cm×5cm肿物.侵出浆膜.行肿物切除术.回肠、升结肠端端吻合.脏见多个结节,最大直径10cm,切除部分肝脏.患者于术后1月因多器官衰竭死亡. Patients, male, 53 years old, upper abdominal discomfort, persistent pain more than one month. Physical examination: a tumor can be touched on the upper abdomen, the size of 10cm × 10cm × 10cm, poor activity, liver and spleen, ascites sign (1). Auxiliary examination, B-ultrasound: Liver multiple occupancy; Gastroscope: gastric antrum mass, considers mucinous adenocarcinoma; colonoscopy: multiple polyps of the colon. Surgery: A blister of the colon see a 5cm × 5cm × 5cm tumor. Invasion of the serosa. Line resection. Ileum, ascending end of the colon anastomosis. See more than the nodules of the viscera, the largest diameter of 10cm, the removal of part of the liver. Patients died of multiple organ failure in 1 month after surgery.