Endoscopic sonography in the diagnosis and treatment of a gastric wall abscess: a case report and review of the literature.
We report a case of a gastric wall abscess in a 50-year-old man who presented with epigastralgia and fever. Gastroscopy revealed a subepithelial lesion on the posterior wall of the gastric body into the antrum. A follow-up abdominal CT scan showed cystic lesions around the stomach. Endoscopic sonography helped to diagnose a gastric wall abscess. The gastric wall abscess was treated endoscopically with a needle knife incision for internal drainage. The patient was treated with antibiotics for 1 week and was discharged without complication. A follow-up endoscopy with endoscopic sonography 1 month later revealed complete resolution of the lesion.
Department of Gastroenterology, Changhua Christian Hospital, Changhua, Taiwan.
Chia-Wei
CW
Yang
Hsu-Heng
HH
Yen
D000038:Abscess / Q000000981:diagnostic imaging* / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D019160:Endosonography / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013272:Stomach Diseases / Q000000981:diagnostic imaging* / Q000628:therapy; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents