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Korean J Helicobacter  Up Gastrointest Res > Volume 13(3); 2013 > Article
The Korean Journal of Helicobacter  and Upper Gastrointestinal Research 2013;13(3):202-206.
DOI: https://doi.org/10.7704/kjhugr.2013.13.3.202    Published online September 10, 2013.
A Case of Acute Phlegmonous Gastritis Diagnosed with Endoscopic Submucosal Biopsy and Bacterial Culture and Improved by Antibiotics Treatment
Mi Ae Song, Jae Hyuck Chang, Mo Eun Jung, Sang Won Son, Tae Ho Kim, Chang Whan Kim, Sok Won Han
Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. wwjjaang@catholic.ac.kr
내시경 점막하 조직검사와 균동정을 시행하고 항생제 치료로 호전된 급성 봉소염성 위염 1예
송미애, 장재혁, 정모은, 손상원, 김태호, 김창환, 한석원
가톨릭대학교 의과대학 내과학교실
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.
Key Words: Phlegmonous gastritis; Biopsy, Needle; Anti-bacterial agents
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