title: Phlegmonous gastritis after esophagectomy: a case report.
abstract: Phlegmonous gastritis is an unusual infection of the gastric wall, which is extremely rare and associated with a poor prognosis. Here, we report the case of a 65-year-old male patient with a history of splenectomy, who had phlegmonous gastritis after esophagectomy. Computed tomography revealed a remarkably distended thoracic stomach, and the gastric wall was locally thickened. Gastric mucosa was red and white in color and significantly edematous on gastroscopy. He was successfully treated with a combination of antibiotics and povidone-iodide intraluminal lavage. In addition to this case, the clinical presentations, imaging examinations as well as treatments of phlegmonous gastritis are discussed.
authors.affiliation: Department of Thoracic Surgery, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, Zhejiang Province, China. fanfun@126.com
authors.forename: Jun-Qiang
authors.initials: JQ
authors.lastname: Fan
authors.forename: Da-Ren
authors.initials: DR
authors.lastname: Liu
authors.forename: Chao
authors.initials: C
authors.lastname: Li
authors.forename: Gang
authors.initials: G
authors.lastname: Chen
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000891:Anti-Infective Agents, Local / Q000008:administration & dosage; D003131:Combined Modality Therapy; D016629:Esophagectomy / Q000009:adverse effects*; D005753:Gastric Mucosa / Q000473:pathology; D005756:Gastritis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005773:Gastroscopy; D006801:Humans; D008297:Male; D011206:Povidone-Iodine / Q000008:administration & dosage; D011237:Predictive Value of Tests; D007507:Therapeutic Irrigation / Q000379:methods; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D000891:Anti-Infective Agents, Local; D011206:Povidone-Iodine
keywords: Computed tomography; Esophagectomy; Phlegmonous gastritis; Splenectomy