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Diagnosis and treatment of acute phlegmonous gastritis: A case report.

Abstract Acute phlegmonous gastritis (PG) is a rare and often fatal condition mainly characterized by severe bacterial infection of the gastric wall. Case reports of PG over the past century average about 1 per year. Early diagnosis and immediate treatment are crucial to achieve positive outcomes.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29718874
OWN - NLM
STAT- In-Process
LR  - 20180502
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 18
DP  - 2018 May
TI  - Diagnosis and treatment of acute phlegmonous gastritis: A case report.
PG  - e0629
LID - 10.1097/MD.0000000000010629 [doi]
AB  - RATIONALE: Acute phlegmonous gastritis (PG) is a rare and often fatal condition
      mainly characterized by severe bacterial infection of the gastric wall. Case
      reports of PG over the past century average about 1 per year. Early diagnosis and
      immediate treatment are crucial to achieve positive outcomes. PATIENT CONCERNS: A
      47-year-old man was referred to our hospital because of abdominal pain, high
      fever, and vomiting for 4 days, with aggravation for 24 hours. Physical
      examination revealed epigastric abdominal pain, rebound pain, and abdominal wall 
      tightness. Abdominal CT showed thickening of the stomach wall with edema and gas.
      DIAGNOSES: On the basis of symptoms and CT imaging findings, the patient was
      diagnosed with acute PG. INTERVENTIONS: Antibiotic therapy and operation.
      OUTCOMES: The patient immediately underwent an operation after conservative
      treatment using antibiotics proved ineffective. The whole stomach was obviously
      swollen, and the anterior side and posterior wall of the stomach were nigrescent 
      necrotic. Hence, total gastrectomy was performed followed by reconstruction
      (roux-en-y), and pus that accumulated in the stomach wall was cultured. At
      postoperative broad-spectrum antibiotic coverage, the patient finally recovered. 
      LESSONS: Acute PG is a rare infection of the gastric wall especially after
      antibiotic treatment. Given the fast progression of this disease, early
      recognition and immediate action are crucial to achieve positive outcomes.
FAU - Yang, Hongxin
AU  - Yang H
AD  - Gastrointestinal Surgery, the Affiliated Hospital of Guizhou Medical University, 
      Guiyang, Guizhou Province, China.
FAU - Yan, Zhiqiang
AU  - Yan Z
FAU - Chen, Jiaju
AU  - Chen J
FAU - Xie, Haitao
AU  - Xie H
FAU - Wang, Haibin
AU  - Wang H
FAU - Wang, Qian
AU  - Wang Q
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
EDAT- 2018/05/03 06:00
MHDA- 2018/05/03 06:00
CRDT- 2018/05/03 06:00
PHST- 2018/05/03 06:00 [entrez]
PHST- 2018/05/03 06:00 [pubmed]
PHST- 2018/05/03 06:00 [medline]
AID - 10.1097/MD.0000000000010629 [doi]
AID - 00005792-201805040-00042 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 May;97(18):e0629. doi: 10.1097/MD.0000000000010629.