Emergency operation for phlegmonous gastritis.
Phlegmonous gastritis is a rare inflammatory lesion in which bacterial infection occurs in the gastric wall. A case of phlegmonous gastritis producing an intramural filling defect in the stomach is presented. Endoscopy showed edematous and reddened gastric mucosa with a mass lesion in the gastric body and antrum. An abdominal CT scan showed diffuse and irregular thickening of the gastric wall. At emergency operation, a total gastrectomy with splenectomy was performed. The most important differential diagnosis is carcinoma, especially scirrhous-type gastric cancer. Radiographic findings of phlegmonous gastritis resemble those of scirrhous gastric cancer. More frequent recognition of this disease, early diagnosis and prompt institution of treatment is essential.
Yokota
Takashi
T
Department of Surgery, National Sanatorium Tohoku Shinseien, Miyagi, Japan. HKI06124@nifty.com
Yamaki
Takayuki
T
Yashima
Rei
R
Yamada
Yasuo
Y
Narushima
Yoichi
Y
Kikuchi
Shu
S
Yamauchi
Hidemi
H
Hatori
Masahito
M
D000368:Aged; D004630:Emergencies; D005260:Female; D005756:Gastritis / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D015898:Tomography Scanners, X-Ray Computed