title: Emergency operation for phlegmonous gastritis.
abstract: 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.
authors.affiliation: Department of Surgery, National Sanatorium Tohoku Shinseien, Miyagi, Japan. HKI06124@nifty.com
authors.forename: Takashi
authors.initials: T
authors.lastname: Yokota
authors.forename: Takayuki
authors.initials: T
authors.lastname: Yamaki
authors.forename: Rei
authors.initials: R
authors.lastname: Yashima
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Yamada
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Narushima
authors.forename: Shu
authors.initials: S
authors.lastname: Kikuchi
authors.forename: Hidemi
authors.initials: H
authors.lastname: Yamauchi
authors.forename: Masahito
authors.initials: M
authors.lastname: Hatori
mesh_terms: D000368:Aged; D004630:Emergencies; D005260:Female; D005756:Gastritis / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D015898:Tomography Scanners, X-Ray Computed