Endosonographic diagnosis and follow-up of phlegmonous gastritis.
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.
Kan-no
Yukiko
Y
Department of Internal Medicine 2, Fukushima Medical University School of Medicine, 1 Hikarigaoka, Fukushima, Japan.
Irisawa
Atsushi
A
Takagi
Tadayuki
T
Shibukawa
Goro
G
Wakatsuki
Takeru
T
Suzuki
Eiji
E
Iwadate
Haruyo
H
Sasajima
Tomomi
T
Imamura
Hidemichi
H
Takahashi
Yuta
Y
Hikichi
Takuto
T
Ohira
Hiromasa
H
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
D000900:Anti-Bacterial Agents