Journal of Okayama Medical Association
Published by Okayama Medical Association<Availability>
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A surgical case of phlegmonous gastritis after endoscopic submucosal dissection for early gastric cancer
Nishie, Manabu
Iwakawa, Kazuhide
Hamano, Ryousuke
Tokunaga, Naoyuki
Tunemitsu, Yousuke
Ootsuka, Shinya
Inagaki, Masaru
Iwagaki, Hiromi
Goubaru, Tomohiro
Fujita, Isao
Murakami, Takako
Tomoda, Jun
Published Date
2011-08-01
Abstract
Phlegmonous gastritis is a rare inflammatory lesion in which bacterial infection occurs in the gastric wall. A 92-year-old man was admitted to the medical ward due to early gastric cancer. The patient received endoscopic submucosal dissection (ESD), and he complained of sudden-onset upper abdominal pain the day after ESD. On physical examination he showed rebound tenderness in the upper abdomen. The white blood cell count was 16,100/μl, and an abdominal CT-SCAN showed diffuse and irregular thickening of the gastric wall. At emergency operation, a subtotal gastrectomy was performed, and the patient had an uneventful recovery.
Keywords
急性胃蜂窩織炎 (phlegmonous gastritis)
内視鏡的粘膜下層剥離術 (endoscopic submucosal dissection：ESD)
Note
症例報告 (Case Report)
DOI
ISSN
0030-1558
NCID
AN00032489