Korean J Gastrointest Endosc.  2005 Jul;31(1):44-48.

A Case of Acute Phlegmonous Gastritis Treated with Antibiotics Alone

Affiliations
  • 1Department of Internal Medicine, Konyang University College of Medicine, Korea. green740@naver.com
  • 2Department of Internal Medicine, Chungnam National University College of Medicine, Daejeon, Korea.

Abstract

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 mortality rate remains extremely high despite therapy with antibiotics. The authors report a case of a 59-year-old man who had severe abdominal pain with signs of peritonitis. Endoscopy showed edematous and thickened mucosal fold with narrow lumen and yellow, whitish exudate-like materials on mucosal surface in the whole stomach. Gastric juice culture revealed the growth of Enterococcus faecalis. Contrast-enhanced CT scan of abdomen showed diffuse extensive mural thickening with hypodense area from the fundus to the antrum. The lumen was narrowed, but there was no gastric outlet obstruction. There was marked thickening of gastric wall (submucosal layer) on EUS examination. Through early diagnosis without laparotomy, the patient was successfully treated with antibiotics alone without complication.

Keyword

Phlegmonous gastritis; Antibiotics

MeSH Terms

Abdomen
Abdominal Pain
Anti-Bacterial Agents*
Bacterial Infections
Cellulitis*
Early Diagnosis
Endoscopy
Enterococcus faecalis
Gastrectomy
Gastric Juice
Gastric Outlet Obstruction
Gastritis*
Humans
Laparotomy
Middle Aged
Mortality
Peritonitis
Stomach
Tomography, X-Ray Computed
Anti-Bacterial Agents
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