title: Endosonographic diagnosis and follow-up of phlegmonous gastritis.
abstract: We report a case of phlegmonous gastritis in a 36-year-old man presenting with anorexia, epigastralgia, and high fever. Endoscopy showed an edematous lesion suggesting a submucosal lesion. Endosonography revealed thickening of the gastric wall, mainly involving the submucosa, with a few anechoic areas. The separation between the submucosa and the muscularis propria was unclear. The patient was treated with antibiotics and endoscopic mucosal resection. Culture of the aspirated pus from the lesion revealed Streptococcus pyogenes. Follow-up endosonography performed 1 week later showed significant improvement.
authors: Department of Internal Medicine 2, Fukushima Medical University School of Medicine, 1 Hikarigaoka, Fukushima, Japan.
authors: Yukiko
authors: Y
authors: Kan-no
authors: Atsushi
authors: A
authors: Irisawa
authors: Tadayuki
authors: T
authors: Takagi
authors: Goro
authors: G
authors: Shibukawa
authors: Takeru
authors: T
authors: Wakatsuki
authors: Eiji
authors: E
authors: Suzuki
authors: Haruyo
authors: H
authors: Iwadate
authors: Tomomi
authors: T
authors: Sasajima
authors: Hidemichi
authors: H
authors: Imamura
authors: Yuta
authors: Y
authors: Takahashi
authors: Takuto
authors: T
authors: Hikichi
authors: Hiromasa
authors: H
authors: Ohira
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002481:Cellulitis / Q000000981:diagnostic imaging* / Q000382:microbiology; D019160:Endosonography; D005500:Follow-Up Studies; D005753:Gastric Mucosa / Q000000981:diagnostic imaging / Q000382:microbiology; D005756:Gastritis / Q000000981:diagnostic imaging* / Q000382:microbiology; D006801:Humans; D008297:Male; D013290:Streptococcal Infections / Q000175:diagnosis; D013297:Streptococcus pyogenes / Q000302:isolation & purification
chemical_list: D000900:Anti-Bacterial Agents