Successful Treatment of Early-Diagnosed Primary Phlegmonous Gastritis

Kunihiro Kato; Kazunari Tominaga; Satoshi Sugimori; Yasuaki Nagami; Noriko Kamata; Hirokazu Yamagami; Tetsuya Tanigawa; Masatsugu Shiba; Toshio Watanabe; Yasuhiro Fujiwara; Tetsuo Arakawa

doi:10.2169/internalmedicine.54.4257

CASE REPORTS

Successful Treatment of Early-Diagnosed Primary Phlegmonous Gastritis

Kunihiro Kato, Kazunari Tominaga, Satoshi Sugimori, Yasuaki Nagami, Noriko Kamata, Hirokazu Yamagami, Tetsuya Tanigawa, Masatsugu Shiba, Toshio Watanabe, Yasuhiro Fujiwara, Tetsuo Arakawa

Author information

Kunihiro Kato
Department of Gastroenterology, Osaka City University Graduate School of Medicine, Japan
Kazunari Tominaga
Department of Gastroenterology, Osaka City University Graduate School of Medicine, Japan
Satoshi Sugimori
Department of Gastroenterology, Osaka City University Graduate School of Medicine, Japan
Yasuaki Nagami
Department of Gastroenterology, Osaka City University Graduate School of Medicine, Japan
Noriko Kamata
Department of Gastroenterology, Osaka City University Graduate School of Medicine, Japan
Hirokazu Yamagami
Department of Gastroenterology, Osaka City University Graduate School of Medicine, Japan
Tetsuya Tanigawa
Department of Gastroenterology, Osaka City University Graduate School of Medicine, Japan
Masatsugu Shiba
Department of Gastroenterology, Osaka City University Graduate School of Medicine, Japan
Toshio Watanabe
Department of Gastroenterology, Osaka City University Graduate School of Medicine, Japan
Yasuhiro Fujiwara
Department of Gastroenterology, Osaka City University Graduate School of Medicine, Japan
Tetsuo Arakawa
Department of Gastroenterology, Osaka City University Graduate School of Medicine, Japan

Keywords: gastric infection, conservative therapy, phlegmonous gastritis

JOURNAL OPEN ACCESS

2015 Volume 54 Issue 22 Pages 2863-2866

DOI https://doi.org/10.2169/internalmedicine.54.4257

Details

Abstract

A 64-year-old man presented with epigastralgia and nausea after an acute exacerbation of chronic pancreatitis. Abdominal computed tomography revealed remarkable thickening of the gastric wall and intramural hypodense areas. Esophagogastroduodenoscopy showed a large gastric ulcer surrounded by an edematous mucosa and mucopus. The results of a culture from a biopsy of the lesion indicated phlegmonous gastritis. The patient was successfully treated with an antibiotic without gastrectomy.

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