A Case of Abdominal Abscess Mimicking a Tumor Caused by a Perforated Gastric Ulcer.
- Author:
Jung Hwan YU
1
;
Sung Ill JANG
;
Jung Soo PARK
;
Kyo Tae JUNG
;
Joo Hee KIM
;
Ja Kyung KIM
;
Kwan Sik LEE
Author Information
1. Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. ceciliak@yuhs.ac
- Publication Type:Case Report
- Keywords:
Gastric ulcer;
Perforation;
Abscess
- MeSH:
Abdominal Abscess;
Abdominal Pain;
Abscess;
Anti-Bacterial Agents;
Choledocholithiasis;
Endoscopy;
Female;
Humans;
Liver;
Middle Aged;
Peptic Ulcer;
Peptic Ulcer Perforation;
Proton Pumps;
Stomach;
Stomach Ulcer
- From:Korean Journal of Medicine
2011;81(1):89-92
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Gastric ulcer perforation usually results in panperitonitis, which requires surgical treatment. A peritoneal abscess also can occur with gastric ulcer perforation, but it is not a common complication of peptic ulcer disease. Here, we report a peritoneal abscess that mimicked a tumor and was caused by a gastric ulcer and provide a literature review. A 57-year-old woman was admitted to our hospital for evaluation of an abdominal mass found in another hospital, with no signs of infection. She underwent a left lobectomy of the liver due to choledocholithiasis. Abdominal computed tomography (CT) revealed a heterogeneous mass attached to the antrum of the stomach. At endoscopy, we confirmed that the gastric ulcer at the antrum of the stomach caused the abscess. After 4 weeks of antibiotics and proton pump inhibitor treatment, she was cured. In a patient with abdominal pain and a peritoneal abscess of unknown cause, the possibility of peptic ulcer perforation should be considered.
