1/12. A case of acute phlegmonous gastritis successfully treated with antibiotics.Acute phlegmonous gastritis is a rare disorder in which bacterial infection occurs in the gastric wall. gastrectomy involving the affected area has been thought to be an effective form of treatment. The authors report a case of a 32-year-old woman who had severe upper abdominal pain without signs of peritoneal irritation. endoscopy showed edematous and reddened gastric mucosa with a mass lesion in the gastric antrum. Endoscopic ultrasonography showed thickening of the antral wall and a low-echoic mass in the gastric antrum, thought to represent a fluid collection. White pus was aspirated from the mass. Localized type of acute phlegmonous gastritis with a gastric abscess was diagnosed. culture of the pus showed streptococcus pneumoniae. Through early diagnosis without laparotomy, the patient's gastritis was successfully treated with antibiotics alone.- - - - - - - - - - ranking = 1keywords = gastritis (Clic here for more details about this article) |
2/12. CT features of acute phlegmonous gastritis.One case of phlegmonous gastritis is presented. Radiological diagnosis of this condition is difficult. In the setting of a clinical suspicion of this condition, computed tomography (CT) is the imaging modality of choice.- - - - - - - - - - ranking = 0.71428571428571keywords = gastritis (Clic here for more details about this article) |
3/12. Idiopathic gastric abscess. A bizarre intramural lesion.A case of localized gastric abscess producing an intramural filling defect in the stomach wall is presented. This condition is an unusual manifestation of phlegmonous gastritis and usually presents clinically with a less acute picture than diffuse phlegmonous gastritis. The clinical and roentgenographic features, pathology, treatment and prognosis are reviewed.- - - - - - - - - - ranking = 0.28571428571429keywords = gastritis (Clic here for more details about this article) |
4/12. Phlegmonous gastritis associated with Kaposi sarcoma: a case report and review of the literature.We report a case of phlegmonous gastritis associated with Kaposi sarcoma in a 37-year-old, human immunodeficiency virus (hiv)-positive man who presented with an acute abdomen. Computed tomographic scan revealed free fluid in the abdominal cavity and a thickened gastric wall. A partial gastrectomy was performed. The resected portion of stomach had a hemorrhagic, necrotic thickened wall and showed extensive, acute suppurative inflammation, especially in the submucosa, with focal transmural involvement. Beneath an area of healing ulceration, a focus of Kaposi sarcoma was present. Group A beta-hemolytic streptococcus was grown from peritoneal fluid, and treatment with numerous antibiotics was initiated. After a difficult postoperative course that responded to 8 weeks of antibiotic therapy, the patient was medically stable and discharged from the hospital on antiretroviral therapy for hiv. Phlegmonous gastritis is a rare and rapidly progressive bacterial infection of the gastric wall. Kaposi sarcoma is one of the most common malignancies in hiv-positive patients, and gastric involvement is relatively common in those patients with systemic Kaposi sarcoma. To our knowledge, this is the first reported case of phlegmonous gastritis associated with Kaposi sarcoma, and it represents a rare survival following surgical and antibiotic therapy.- - - - - - - - - - ranking = 1keywords = gastritis (Clic here for more details about this article) |
5/12. Acute phlegmonous gastritis in an infant.The authors present a case of acute phlegmonous gastritis occurring in an 11-month-old infant in whom the diagnosis was made by microscopic examination after surgery for perforation of the stomach. The patient recovered uneventfully. The pathogenesis, diagnosis, and treatment in this inflammatory process are discussed.- - - - - - - - - - ranking = 0.71428571428571keywords = gastritis (Clic here for more details about this article) |
6/12. Phlegmonous gastritis in a patient with rheumatoid arthritis.Phlegmonous gastritis is an acute infection of the stomach wall by pyogenic bacteria. It represents an extremely rare disease with a fulminating course and a high mortality rate. A precise lifetime diagnosis is generally unsuccessful. The inflammation, most often caused by alpha-hemolytic streptococci, is most frequently expressed in patients who are more susceptible to infection. Among these are elderly patients, women, patients with chronic gastritis, chronic peptic ulcer, hepatic cirrhosis and decreased immune tolerance, T-cell leukemia, patients with a low socio-economic status and alcoholics. In our paper we are describing the case of a 66-year old female patient, who had received many years of treatment for rheumatoid arthritis. She died due to phlegmonous gastritis, which was only established post-mortem. The authors share the opinion that the occurrence of the phlegmonous form of gastritis was influenced significantly by the treatment with nonsteroidal antirheumatics and corticosteroids, which she had received for many years and also immediately prior to the complication.- - - - - - - - - - ranking = 1.1428571428571keywords = gastritis (Clic here for more details about this article) |
7/12. Phlegmonous gastritis and Hemophilus influenzae peritonitis in a patient with alcoholic liver disease.A patient with alcoholic liver disease and ascites had haemophilus influenzae peritonitis and died in spite of vigorous antibiotic therapy. At autopsy, a phlegmonous gastritis was found as a likely cause of the peritonitis. Phlegmonous gastritis is an uncommon cause of unexplained gastrointestinal symptoms in alcoholics and in the elderly, and it may be pathogenetic in rare patients with bacterial peritonitis of unclear source.- - - - - - - - - - ranking = 0.85714285714286keywords = gastritis (Clic here for more details about this article) |
8/12. Phlegmonous gastritis associated with the acquired immunodeficiency syndrome/pre-acquired immunodeficiency syndrome.Unusual infections in the immunocompromised host often present a diagnostic dilemma to the physician. We describe a 29-year-old Haitian man with acquired immunodeficiency syndrome/pre-acquired immunodeficiency syndrome who died of phlegmonous gastritis.- - - - - - - - - - ranking = 0.71428571428571keywords = gastritis (Clic here for more details about this article) |
9/12. Diffuse phlegmonous gastroenterocolitis in a patient with an infected peritoneo-jugular venous shunt.Phlegmonous gastritis and enterocolitis have been observed in association with alcoholism and hepatic cirrhosis. We report a case of diffuse phlegmonous gastroenterocolitis that occurred 1 yr after the insertion of a peritoneojugular venous shunt (Denver type) in a young male heroin abuser with postnecrotic cirrhosis. Diplococcus pneumoniae was cultured from the occluded distal tip of the shunt and the organism was visualized throughout the inflamed submucosa of the entire gastrointestinal tract. The diagnosis of this condition was not made premortem and the case highlights some of the clinical manifestations of this gastrointestinal disease. The possible pathogenetic mechanisms involved in this inflammatory process are discussed.- - - - - - - - - - ranking = 0.14285714285714keywords = gastritis (Clic here for more details about this article) |
10/12. Necrotizing gastritis and phlegmonous gastritis--are they separate entities?Phlegmonous gastritis, although a rare condition, is a submucosal bacterial infection strictly confined to the stomach with characteristic macroscopic and histological findings. A case of necrotizing gastritis with perforation is presented, and another similar case is reviewed, in which the gross and microscopic features are considerably different from those ascribed to classical phlegmonous gastritis. There was no evidence of an infectious aetiology in either case, and the predominant feature was necrosis. It is proposed that this variant may represent a separate disease entity of unknown aetiology. A combination of early radical gastric resection and vigorous antibiotic therapy appears to be the treatment of choice in both classical phlegmonous gastritis and necrotizing gastritis.- - - - - - - - - - ranking = 1.8571428571429keywords = gastritis (Clic here for more details about this article) |
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