title: A case of phlegmonous gastritis associated with marked gastric distension.
abstract: 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.
authors.affiliation: Division of Gastroenterology, Department of Internal Medicine, Eulji University Hospital, Eulji University College of Medicine, Daejeon, Korea.
authors.forename: Chan Woong
authors.initials: CW
authors.lastname: Park
authors.forename: Anna
authors.initials: A
authors.lastname: Kim
authors.forename: Sang Woo
authors.initials: SW
authors.lastname: Cha
authors.forename: Sung Hee
authors.initials: SH
authors.lastname: Jung
authors.forename: Hyeon Woong
authors.initials: HW
authors.lastname: Yang
authors.forename: Yun Jung
authors.initials: YJ
authors.lastname: Lee
authors.forename: Hyang Ie
authors.initials: HIe
authors.lastname: Lee
authors.forename: Sae Hee
authors.initials: SH
authors.lastname: Kim
authors.forename: Yong Hwan
authors.initials: YH
authors.lastname: Kim