A Case of Acute Phlegmonous Gastritis Successfully Treated With Antibiotics
作者:
Yuji,
Iwakiri Teppei,
Kabemura Daisuke,
Yasuda Hiroaki,
Okabe Akira,
Soejima Toshirou,
Miyagahara Kenichiro,
期刊:
Journal of Clinical Gastroenterology
(OVID Available online 1999)
卷期:
Volume 28,
issue 2
页码: 175-177
ISSN:0192-0790
年代: 1999
出版商: OVID
关键词: Acute phlegmonous gastritis;Antibiotics;Endoscopic ultrasonography
数据来源: OVID
摘要:
Acute phlegmonous gastritis is a rare disorder in which bacterial infection occurs in the gastric wall. Gastrectomy involving the affected area has been thought to be an effective form of treatment. The authors report a case of a 32-year-old woman who had severe upper abdominal pain without signs of peritoneal irritation. Endoscopy showed edematous and reddened gastric mucosa with a mass lesion in the gastric antrum. Endoscopic ultrasonography showed thickening of the antral wall and a low-echoic mass in the gastric antrum, thought to represent a fluid collection. White pus was aspirated from the mass. Localized type of acute phlegmonous gastritis with a gastric abscess was diagnosed. Culture of the pus showedStreptococcus pneumoniae.Through early diagnosis without laparotomy, the patient's gastritis was successfully treated with antibiotics alone.
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