Acute Phlegmonous Gastritis Complicated by Subphrenic Abscess

Sung Kyoo Kim; Seok Hoon Ko; Ki Young Jeong; Jong Seok Lee; Han Sung Choi; Hoon Pyo Hong

doi:10.1016/j.jemermed.2020.10.019

Acute Phlegmonous Gastritis Complicated by Subphrenic Abscess

J Emerg Med. 2021 Mar;60(3):e49-e52. doi: 10.1016/j.jemermed.2020.10.019. Epub 2020 Dec 7.

Authors

Sung Kyoo Kim¹, Seok Hoon Ko¹, Ki Young Jeong², Jong Seok Lee², Han Sung Choi², Hoon Pyo Hong²

Affiliations

¹ Department of Medicine, Graduate School, Kyung Hee University, Seoul, Republic of Korea.
² Department of Emergency Medicine, Kyung Hee University Medical Center, Seoul, Republic of Korea.

PMID: 33303274
DOI: 10.1016/j.jemermed.2020.10.019

Abstract

Background: Phlegmonous gastritis (PG) is a rare and potentially fatal disease characterized by bacterial infection of the gastric wall. However, its clinical features are nonspecific, which may delay its diagnosis and treatment.

Case report: We report a case of a previously healthy 53-year-old woman with localized PG complicated by subphrenic abscess formation who was treated successfully with antibiotics and percutaneous catheter drainage. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Early diagnosis and treatment initiation are important to improving outcomes. Emergency physicians should consider PG a differential diagnosis of acute abdomen.

Keywords: acute abdomen; emergency department; phlegmonous gastritis; subphrenic abscess; upper abdominal pain.

Publication types

Case Reports

MeSH terms

Acute Disease
Anti-Bacterial Agents / therapeutic use
Female
Gastritis* / complications
Gastritis* / diagnosis
Humans
Middle Aged
Subphrenic Abscess* / drug therapy

Substances

Anti-Bacterial Agents