2002 Volume 44 Issue 9 Pages 1681-1686
A report is presented on a case of gastric abscess after endoscopic hemostasis in a 91-year-old female with Dieulafoy's ulcer, who was admitted to the hospital because of speech and gait disterbance. Although general condition had tended to be improved, tarry stool was seen and urgent endoscopy revealed local bleeding from Dieulafoy's ulcer, which was treated by endoscopic injection of absolute ethanol and HS-E fluid. Rebleeding had not been seen, but a hemispherical elevated lesion like a submucosal tumor was found by follow-up endoscopic study. EUS revealed a cystic lesion in the third layer of the gastric wall, which suggested a submucosal gastric abscess. Endoscopic drainage was performed for the lesion, and α-Streptococcus and Neisseria were detected by the culture of the aspirated content. An elevated lesion was disappeared 7 days after endoscopic drainage.
