Abstract
A 73-year-old woman was admitted to the hospital because of acute pancreatitis and biliary tract infection. Upper gastrointestinal endoscopy demonstrated prominence of mucosa, from where necrotic tissue had protruded, at the angular notch. A submucosal tumor of which center had been necrotic was most likely, and distal gastrectomy was performed. The histopathological diagnosis was abscess with xanthogranuloma. Xanthogranuloma was also identified from the gallbladder resected at the same time. Accordingly gastric wall abscess secondary to cholecystitis was clarified.
Gastric wall abscess is a rare entity and presents as a submucosal tumor of the stomach on imaging findings. In recent years we have sometimes encountered reports on the disease cured by endoscopic-assisted drainage or antibacterial drug regimen. In the case when we recognize findings suggestive of a submucosal tumor of the stomach, a possibility of gastric wall abscess should be examined.
