A case of phlegmonous gastritis associated with marked gastric distension.
Phlegmonous gastritis is an acute and severe infectious disease that is occasionally fatal if the diagnosis is delayed. Alcohol consumption, an immunocompromised state (e.g., due to HIV infection, rheumatoid arthritis, diabetes mellitus, or adult T-cell lymphoma), and mucosal injury of the stomach are reported to be predisposing factors. The main treatments for phlegmonous gastritis are antibiotics administration or surgery. In this case, the patient's stomach was markedly distended due to long-lasting gastric-outlet obstruction, which is thought to be the predisposing factor for phlegmonous gastritis. We inserted a metal stent at the obstructed site palliatively due to strong refusal by the patient for surgery. The patient recovered after stenting and antibiotic therapy.
Park
Chan Woong
CW
Division of Gastroenterology, Department of Internal Medicine, Eulji University Hospital, Eulji University College of Medicine, Daejeon, Korea.
Kim
Anna
A
Cha
Sang Woo
SW
Jung
Sung Hee
SH
Yang
Hyeon Woong
HW
Lee
Yun Jung
YJ
Lee
Hyang Ie
HIe
Kim
Sae Hee
SH
Kim
Yong Hwan
YH