Endosonographic diagnosis and follow‐up of phlegmonous gastritis

We report a case of phlegmonous gastritis in a 36‐year‐old man presenting with anorexia, epigastralgia, and high fever. Endoscopy showed an edematous lesion suggesting a submucosal lesion. Endosonography revealed thickening of the gastric wall, mainly involving the submucosa, with a few anechoic are...

Full description

Saved in:
Bibliographic Details
Published in:Journal of clinical ultrasound 2007-11, Vol.35 (9), p.524-526
Main Authors: Kan‐no, Yukiko, Irisawa, Atsushi, Takagi, Tadayuki, Shibukawa, Goro, Wakatsuki, Takeru, Suzuki, Eiji, Iwadate, Haruyo, Sasajima, Tomomi, Imamura, Hidemichi, Takahashi, Yuta, Hikichi, Takuto, Ohira, Hiromasa
Format: Article
Language:English
Subjects:
Adult
Anti-Bacterial Agents - therapeutic use
Cellulitis - diagnostic imaging
Cellulitis - microbiology
endoscopy
Endosonography
Follow-Up Studies
Gastric Mucosa - diagnostic imaging
Gastric Mucosa - microbiology
Gastritis - diagnostic imaging
Gastritis - microbiology
Humans
Male
phlegmonous gastritis
Streptococcal Infections - diagnosis
Streptococcus pyogenes
Streptococcus pyogenes - isolation & purification
ultrasonography
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We report a case of phlegmonous gastritis in a 36‐year‐old man presenting with anorexia, epigastralgia, and high fever. Endoscopy showed an edematous lesion suggesting a submucosal lesion. Endosonography revealed thickening of the gastric wall, mainly involving the submucosa, with a few anechoic areas. The separation between the submucosa and the muscularis propria was unclear. The patient was treated with antibiotics and endoscopic mucosal resection. Culture of the aspirated pus from the lesion revealed Streptococcus pyogenes. Follow‐up endosonography performed 1 week later showed significant improvement. © 2007 Wiley Periodicals, Inc. J Clin Ultrasound, 2007
ISSN:0091-2751
1097-0096
DOI:10.1002/jcu.20333