A Case of Acute Phlegmonous Gastritis Diagnosed with Endoscopic Submucosal Biopsy and Bacterial Culture and Improved by Antibiotics Treatment.
10.7704/kjhugr.2013.13.3.202
- Author:
Mi Ae SONG
1
;
Jae Hyuck CHANG
;
Mo Eun JUNG
;
Sang Won SON
;
Tae Ho KIM
;
Chang Whan KIM
;
Sok Won HAN
Author Information
1. Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. wwjjaang@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Phlegmonous gastritis;
Biopsy, Needle;
Anti-bacterial agents
- MeSH:
Acinetobacter baumannii;
Anti-Bacterial Agents;
Biopsy;
Biopsy, Needle;
Cellulitis;
Endoscopy, Digestive System;
Endosonography;
Female;
Fever;
Gastritis;
Humans;
Inflammation;
Middle Aged;
Nausea;
Prognosis;
Rare Diseases;
Stomach;
Vomiting
- From:The Korean Journal of Helicobacter and Upper Gastrointestinal Research
2013;13(3):202-206
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Phlegmonous gastritis is a rare disease of acute suppurative inflammation in the stomach wall. It is rapidly progressive and potentially fatal. Its mortality rate remains very high because the clinical diagnosis is often delayed. Many patients with phlegmonous gastritis undergo surgery. We present the case of 63-year-old woman with epigastric pain, fever, nausea and vomiting. The presumed diagnosis of acute phlegmonous gastritis was made by esophagogastroduodenoscopy, abdominal computed tomography, endoscopic ultrasonography and deep submucosal biopsy assisted with hook knife. Acinetobacter baumannii was cultured in the aspiration from the stomach. We treated the patient with antibiotics alone. Early recognition of phlegmonous gastritis by endoscopic biopsies and bacteriological study may improve the prognosis of these patient.
