Successful Treatment of Early-Diagnosed Primary Phlegmonous Gastritis

Kunihiro Kato; Kazunari Tominaga; Satoshi Sugimori; Yasuaki Nagami; Noriko Kamata; Hirokazu Yamagami; Tetsuya Tanigawa; Masatsugu Shiba; Toshio Watanabe; Yasuhiro Fujiwara; Tetsuo Arakawa

doi:10.2169/internalmedicine.54.4257

Successful Treatment of Early-Diagnosed Primary Phlegmonous Gastritis

Intern Med. 2015;54(22):2863-6. doi: 10.2169/internalmedicine.54.4257. Epub 2015 Nov 15.

Authors

Kunihiro Kato¹, Kazunari Tominaga, Satoshi Sugimori, Yasuaki Nagami, Noriko Kamata, Hirokazu Yamagami, Tetsuya Tanigawa, Masatsugu Shiba, Toshio Watanabe, Yasuhiro Fujiwara, Tetsuo Arakawa

Affiliation

¹ Department of Gastroenterology, Osaka City University Graduate School of Medicine, Japan.

PMID: 26567999
DOI: 10.2169/internalmedicine.54.4257

Abstract

A 64-year-old man presented with epigastralgia and nausea after an acute exacerbation of chronic pancreatitis. Abdominal computed tomography revealed remarkable thickening of the gastric wall and intramural hypodense areas. Esophagogastroduodenoscopy showed a large gastric ulcer surrounded by an edematous mucosa and mucopus. The results of a culture from a biopsy of the lesion indicated phlegmonous gastritis. The patient was successfully treated with an antibiotic without gastrectomy.

Publication types

Case Reports

MeSH terms

Anti-Bacterial Agents / administration & dosage*
Cellulitis / drug therapy
Cellulitis / microbiology*
Endoscopy, Digestive System
Gastritis / drug therapy
Gastritis / microbiology*
Humans
Male
Meropenem
Middle Aged
Omeprazole / administration & dosage*
Pancreatitis, Chronic / drug therapy*
Proton Pump Inhibitors / administration & dosage*
Thienamycins / administration & dosage*
Tomography, X-Ray Computed
Treatment Outcome

Substances

Anti-Bacterial Agents
Proton Pump Inhibitors
Thienamycins
Meropenem
Omeprazole