title: Acute diffuse phlegmonous esophagogastritis: a case report.
abstract: Acute phlegmonous infection of the gastrointestinal tract is characterized by purulent inflammation of the submucosa and muscular layer with sparing of the mucosa. The authors report a rare case of acute diffuse phlegmonous esophagogastritis, which was well diagnosed based on the typical chest computed tomographic (CT) findings and was successfully treated. A 48-yr-old man presented with left chest pain and dyspnea for three days. Chest radiograph on admission showed mediastinal widening and bilateral pleural effusion. The patient became febrile and the amount of left pleural effusion is increased on follow-up chest radiograph. Left closed thoracostomy was performed with pus drainage. A CT diagnosis of acute phlegmonous esophagogastritis was suggested and a surgery was decided due to worsening of clinical condition of the patient and radiologic findings. Esophageal myotomies were performed and the submucosal layer was filled with thick, cheesy materials. The patient was successfully discharged with no postoperative complication.
authors.affiliation: Department of Radiology, Soonchunhyang University Hospital, Seoul, Korea.
authors.forename: Hyoung Su
authors.initials: HS
authors.lastname: Kim
authors.forename: Jung Hwa
authors.initials: JH
authors.lastname: Hwang
authors.forename: Seong Sook
authors.initials: SS
authors.lastname: Hong
authors.forename: Won Ho
authors.initials: WH
authors.lastname: Chang
authors.forename: Hyun Jo
authors.initials: HJ
authors.lastname: Kim
authors.forename: Yun Woo
authors.initials: YW
authors.lastname: Chang
authors.forename: Kui Hyang
authors.initials: KH
authors.lastname: Kwon
authors.forename: Deuk Lin
authors.initials: DL
authors.lastname: Choi
mesh_terms: D000208:Acute Disease; D002481:Cellulitis / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D004322:Drainage; D004941:Esophagitis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D005756:Gastritis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007710:Klebsiella Infections / Q000175:diagnosis; D007711:Klebsiella pneumoniae / Q000302:isolation & purification; D008297:Male; D008875:Middle Aged; D010996:Pleural Effusion / Q000000981:diagnostic imaging / Q000209:etiology; D013907:Thoracostomy; D014057:Tomography, X-Ray Computed