Gut Liver.  2010 Sep;4(3):415-418.

A Case of Phlegmonous Gastritis Associated with Marked Gastric Distension

Affiliations
  • 1Division of Gastroenterology, Department of Internal Medicine, Eulji University Hospital, Eulji University College of Medicine, Daejeon, Korea. ankim@eulji.ac.kr

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.

Keyword

Phlegmonous gastritis; Gastric outlet obstruction

MeSH Terms

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
Anti-Bacterial Agents
Disulfiram
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