A Case of Phlegmonous Gastritis Associated with Marked Gastric Distension.
- Author:
Chan Woong PARK
1
;
Anna KIM
;
Sang Woo CHA
;
Sung Hee JUNG
;
Hyeon Woong YANG
;
Yun Jung LEE
;
Hyang Ie LEE
;
Sae Hee KIM
;
Yong Hwan KIM
Author Information
1. Division of Gastroenterology, Department of Internal Medicine, Eulji University Hospital, Eulji University College of Medicine, Daejeon, Korea. ankim@eulji.ac.kr
- Publication Type:Case Report
- Keywords:
Phlegmonous gastritis;
Gastric outlet obstruction
- MeSH:
Adult;
Alcohol Drinking;
Anti-Bacterial Agents;
Arthritis, Rheumatoid;
Cellulitis;
Communicable Diseases;
Diabetes Mellitus;
Disulfiram;
Gastric Outlet Obstruction;
Gastritis;
HIV Infections;
Humans;
Stents;
Stomach;
T-Lymphocytes
- From:Gut and Liver
2010;4(3):415-418
- CountryRepublic of Korea
- Language:English
-
Abstract:
Phlegmonous gastritis is an acute and severe infectious disease that is occasionally fatal if the diagnosis is delayed. Alcohol consumption, an immunocompromised state (e.g., due to HIV infection, rheumatoid arthritis, diabetes mellitus, or adult T-cell lymphoma), and mucosal injury of the stomach are reported to be predisposing factors. The main treatments for phlegmonous gastritis are antibiotics administration or surgery. In this case, the patient's stomach was markedly distended due to long-lasting gastric-outlet obstruction, which is thought to be the predisposing factor for phlegmonous gastritis. We inserted a metal stent at the obstructed site palliatively due to strong refusal by the patient for surgery. The patient recovered after stenting and antibiotic therapy.
