Korean J Gastrointest Endosc.  2011 Feb;42(2):105-108.

A Case of Focal Intramural Abscess Due to a Fish Bone Ingestion in a Healthy Middle Aged Woman

• Ko SH
• Lee GS
• Ko JI
• Yun HS
• Kim SK
• Kim SH
• Park CW
• Nam GW

Abstract

Gastric wall abscess is a one form of phlegmonous gastritis and there are scare reports on this. Gastric wall abscess is a purulent inflammatory disease and it is commonly caused by a focal injury to the gastric mucosa such as a penetrating trauma from an ingested foreign body or an endoscopic biopsy where by bacterial infection occurs throughout all the layers of the gastric wall. With symptoms such as abdominal pain and fever, making the diagnosis after an operation was possible in the past, but it has recently become possible to make the diagnosis before the operation via esophagogastroduodenoscopy, endoscopic ultrasonography and/or abdominal computed tomography. We recently experienced a case of gastric wall abscess that was associated with a foreign body (presumably a fish bone) in a healthy middle aged woman. By performing generalized esophagogastroduodenoscopy and abdominal computed tomography at a primary medical institution, we made an early diagnosis and treated the patient. Herein, we report on this case and we review the relevant literature.

Keyword

Gastric wall abscess; Phlegmonous gastritis

MeSH Terms

Abdominal Pain
Abscess
Bacterial Infections
Biopsy
Cellulitis
Early Diagnosis
Eating
Endoscopy, Digestive System
Endosonography
Female
Fever
Foreign Bodies
Gastric Mucosa
Gastritis
Humans
Middle Aged