Elsevier

Gastrointestinal Endoscopy

Volume 52, Issue 6, December 2000, Pages 793-795
Gastrointestinal Endoscopy

Case Studies: Brief Reports
Phlegmonous gastritis: Successful treatment with antibiotics and resolution documented by EUS

https://doi.org/10.1067/mge.2000.108926Get rights and content

Section snippets

Case report

A 35-year-old woman with a remote medical history of gonococcal cervicitis presented to the emergency department with 5 days of nausea, vomiting, fever with rigor, and progressive severe, midline, upper abdominal pain. Her examination was notable for moderate distress: blood pressure was 121/54 mm Hg, pulse 104 beats/min, and temperature 40.6° C. On abdominal examination, there was right upper quadrant and midline epigastric tenderness but no rebound or guarding. There was no back or flank

Discussion

Acute phlegmonous gastritis is a rare condition characterized by suppurative bacterial infection of the stomach. Fewer than 300 cases have been reported. Two different disease entities have been described: a diffuse gastritis involving the entire stomach, and a focal gastritis in which the antrum is the area most frequently involved.1

Factors predisposing to acute phlegmonous gastritis include an immunocompromised state and injury to the gastric mucosa.2, 3, 4 The most common pathogens

First page preview

First page preview
Click to open first page preview

References (12)

  • AI Miller et al.

    Phlegmonous gastritis

    Gastroenterology

    (1975)
  • RE Mendis et al.

    Large gastric folds: a diagnostic approach using endoscopic ultrasonography

    Gastrointest Endosc

    (1994)
  • JF Aviles et al.

    Localized phlegmonous gastritis: endoscopic view

    Endoscopy

    (1988)
  • RE Mittleman et al.

    Phlegmonous gastritis associated with the acquired immunodeficiency syndrome/pre-acquired immunodeficiency syndrome

    Arch Pathol Lab Med

    (1985)
  • L Stein et al.

    Acute necrotizing gastritis in a patient with peptic ulcer disease

    Am J Gastroenterol

    (1989)
  • MJ Shultz et al.

    Acute phlegmonous gastritis

    Gastrointest Endosc

    (1996)
There are more references available in the full text version of this article.

Cited by (36)

  • Gastric wall abscess: A case report and literature review

    2022, Annals of Medicine and Surgery
    Citation Excerpt :

    In most cases EUS can differentiate between gastric wall abscess and gastric masses, also between localized type gastric wall abscess and diffuse type. In diffuse type it shows thickening of the gastric wall primarily in the submucosa with a blurred interface between the submucosa and muscularis propria; even complete blurring of all of the wall layers have been reported [13–15]EUS demonstrates the presence of hypoechoic lesions within submucosa in localized type [9,10]. The most commonly isolated organism is streptococcus pyogen in 68% of cases, followed by multiple organisms in 32% of cases.

  • Gastritis, Gastropathy, and Ulcer Disease

    2011, Pediatric Gastrointestinal and Liver Disease
  • Gastritis, Gastropathy, and Ulcer Disease

    2010, Pediatric Gastrointestinal and Liver Disease
  • Acute gastritis flemonosa in a patient with AIDS [3]

    2007, Enfermedades Infecciosas y Microbiologia Clinica
  • Gastritis, Gastropathy and Ulcer Disease

    2006, Pediatric Gastrointestinal and Liver Disease
View all citing articles on Scopus

Kevin McGrath, MD, 216 Bell Bldg., Box 3902, Duke University Medical Center, Durham, NC 27710; fax 919-681-8729.

View full text