title: Phlegmonous gastritis after endoscopic submucosal dissection for early gastric cancer.
abstract: A 74-year-old man with diabetic nephropathy developed epigastric pain and high fever after endoscopic submucosal dissection (ESD) for early gastric cancer. Gastroscopy, endoscopic ultrasonography and computed tomography showed ulceration with a purulent lake, thickened entire gastric mucosal layers suggesting focal abscess formation, leading to the diagnosis of phlegmonous gastritis. He underwent total gastrectomy as an emergency. Histological findings of the resected specimen showed severe inflammatory cell infiltration and multiple focal abscess formation spreading to the entire gastric wall. In patients with poorer general conditions, phlegmonous gastritis should be considered as a serious complication after ESD, indicating a requirement of antibiotic prophylaxis.
authors.affiliation: Department of Internal Medicine, Division of Gastroenterology Jichi Medical University, Tochigi, Japan.
authors.forename: Hironari
authors.initials: H
authors.lastname: Ajibe
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Osawa
authors.forename: Mitsuyo
authors.initials: M
authors.lastname: Yoshizawa
authors.forename: Hironori
authors.initials: H
authors.lastname: Yamamoto
authors.forename: Kiichi
authors.initials: K
authors.lastname: Satoh
authors.forename: Koji
authors.initials: K
authors.lastname: Koinuma
authors.forename: Kazue
authors.initials: K
authors.lastname: Morishima
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Hosoya
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Yasuda
authors.forename: Kentaro
authors.initials: K
authors.lastname: Sugano