Korean J Helicobacter Up Gastrointest Res.  2013 Sep;13(3):202-206. 10.7704/kjhugr.2013.13.3.202.

A Case of Acute Phlegmonous Gastritis Diagnosed with Endoscopic Submucosal Biopsy and Bacterial Culture and Improved by Antibiotics Treatment

• Song MA
• Chang JH
• Jung ME
• Son SW
• Kim TH
• Kim CW
• Han SW

• KMID: 2249490
• DOI: http://doi.org/10.7704/kjhugr.2013.13.3.202

Abstract

Phlegmonous gastritis is a rare disease of acute suppurative inflammation in the stomach wall. It is rapidly progressive and potentially fatal. Its mortality rate remains very high because the clinical diagnosis is often delayed. Many patients with phlegmonous gastritis undergo surgery. We present the case of 63-year-old woman with epigastric pain, fever, nausea and vomiting. The presumed diagnosis of acute phlegmonous gastritis was made by esophagogastroduodenoscopy, abdominal computed tomography, endoscopic ultrasonography and deep submucosal biopsy assisted with hook knife. Acinetobacter baumannii was cultured in the aspiration from the stomach. We treated the patient with antibiotics alone. Early recognition of phlegmonous gastritis by endoscopic biopsies and bacteriological study may improve the prognosis of these patient.

Keyword

Phlegmonous gastritis; Biopsy, Needle; Anti-bacterial agents

MeSH Terms

Acinetobacter baumannii
Anti-Bacterial Agents
Biopsy
Biopsy, Needle
Cellulitis
Endoscopy, Digestive System
Endosonography
Female
Fever
Gastritis
Humans
Inflammation
Middle Aged
Nausea
Prognosis
Rare Diseases
Stomach
Vomiting
Anti-Bacterial Agents