Case Studies: Brief ReportsPhlegmonous gastritis: Successful treatment with antibiotics and resolution documented by EUS☆
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
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A case of phlegmonous gastritis complicated by stomach necrosis requiring gastrectomy
2024, Gastroenterology and EndoscopyGastric wall abscess: A case report and literature review
2022, Annals of Medicine and SurgeryCitation 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 DiseaseGastritis, Gastropathy, and Ulcer Disease
2010, Pediatric Gastrointestinal and Liver DiseaseAcute gastritis flemonosa in a patient with AIDS [3]
2007, Enfermedades Infecciosas y Microbiologia ClinicaGastritis, Gastropathy and Ulcer Disease
2006, Pediatric Gastrointestinal and Liver Disease
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Kevin McGrath, MD, 216 Bell Bldg., Box 3902, Duke University Medical Center, Durham, NC 27710; fax 919-681-8729.