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Background Hepatic lymphorrhea is a rare and serious complication of surgery for digestive tract cancers and is thought to occur as a result of lymph node dissection of the hepatoduodenal ligament. This complication results in the accumulation of lymphatic fluid, which may in turn lead to nutritional disorders, immune deficiency, and circulation insufficiency. However, there is currently no standard strategy for treating this condition. Case presentation A 49-year-old woman with alcoholic liver damage underwent laparoscopic distal gastrectomy with lymph node dissection for early gastric cancer. Abundant ascites persisted postoperatively, and the fluid was suspected to indicate hepatic lymphorrhea. The patient was re-admitted on postoperative day 26 due to the onset of a brain infarction caused by dehydration. Various conservative treatments for hepatic lymphorrhea were ineffective. She underwent percutaneous transhepatic lymphangiography and embolization on postoperative day 81, with obvious effect. Computed tomography images demonstrated complete disappearance of ascites. Conclusions Postoperative hepatic lymphorrhea is a rare and serious complication of radical surgery for digestive tract cancers. The current case suggests that percutaneous transhepatic lymphangiography and embolization may be a rational treatment option when conservative treatments fail.

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General Hospital Granular cell tumor of the colon is relatively rare. We encountered a case of multiple granular cell tumors of the cecum that were discovered because of early gastric cancer and were resected simultaneously by laparoscopy. A 47-year-old man was referred to our hospital with chief complaints of epigastric pain and indications of Ⅱ c lesions in the gastric antrum on upper gastrointestinal endoscopy. Computed tomography showed a tumor about 1 cm in size in the cecum, and lower gastrointestinal endoscopy showed two submucosal tumors at the same site, 12 and 10 mm in diameter. The patient was diagnosed with early gastric cancer and submucosal tumors of the cecum, and underwent laparoscopically assisted distal gastrectomy with ileocecal resection. Postoperative histopathological examination diagnosed multiple granular cell tumors of the cecum. Surgery was repeated on postoperative day 8 due to suture failure, but the subsequent course was favorable, and he was discharged in remission on hospital day 23. No standard treatment has been defined for granular cell tumors of the colon. The present case underwent ileocecal resection at the same time as a procedure for early gastric cancer, and we consider this as a valid surgical procedure in light of the fact that these multiple tumors were not diagnosed preoperatively. Key words：granular cell tumor of the colon，early gastric cancer，laparoscopic resection