2006 Volume 48 Issue 12 Pages 2772-2779
A 54-year-old man was admitted to our hospital suffering from epigastric pain. Laboratory tests showed leukocytosis with the leftshift and elevated CRP level. Abdominal computed tomography and ultrasonography revealed a thickning of the gastric wall and multiple perigastric and perihepatic abscesses. Endoscopy showed edematous and reddened gastric mucosa with white pus. The patient was diagnosed with Phlegmonous gastritis and an endoscopic mucosal incision by IT-knife was performed on admission day on the purpose of the drainage. A large amount of pus was drained into gastric lumen, and the symptom was released on the third day. Treatment with antibiotics was effective and the patient was discharged on the 30th day. Early diagnosis of Phlegmonous gastritis is considered to be difficult and late diagnosis is often fatal. This report details a patient with phlegmonous gastritis who was successfully treated by endoscopic drainage therapy using IT-knife and medical therapy.
