Pancreatic cancer with multiple liver metastasis complicating multi-organ infarcts from marantic endocarditis and Trousseau's syndrome

Abstract

A middle-aged previously healthy and fit man presented with left sided weakness, slurred speech, left sided sensory neglect, mild headache and fever. He denied having any cough, shortness of breath, chest pain, palpitations, abdominal pain or bowel-bladder symptoms. He has smoked 5–10 cigarettes