Gastric wall abscess – an uncommon condition treated by an alternative form

Marcos, Wander C.; Petrini, Bruno G.; Xavier, Rafael L.; Starling, Rosângela M.; Couto, José C.; Ribeiro, Guilherme J.

doi:10.1590/s1807-59322010000800016

Cited by 5 publications

(4 citation statements)

References 15 publications

(29 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several publications since 2003 were reviewed, and 15 reported cases were identified including our case (Table 1). 3,4,[13][14][15][16][17][18][19][20][21][22] The technical advances of endoscopic drainage procedure have emerged as an alternative to surgical approach these days. In our case, the abscess was treated with endoscopic aspiration and irrigation after endoscopic incision.…”

Section: Discussionmentioning

confidence: 99%

A Case of Intramural Gastric Wall Abscess, a Rare Disease Successfully Treated with Endoscopic Incision and Drainage

et al. 2023

View full text Add to dashboard Cite

Gastric wall abscess is a rare condition characterized by a purulent inflammatory process resulting in the formation of a pocket of pus in the stomach. As the mucosa is usually intact, it requires various tools such as endoscopic ultrasonography or computed tomography for the differential diagnosis to rule out more common subepithelial tumors. Even after the diagnosis, the treatment for gastric wall abscess was previously restricted to surgical resection in combination with antibiotics. Currently, in order to avoid unnecessary surgery, the alternative method of initial treatment with an endoscopic approach is recommended. It also helps to choose appropriate antibiotics with confirmation of the pathogen by drainage. There are few reports that describe the detailed processing of the endoscopic drainage, and there is no consensus on the treatment. The pathogens that cause gastric wall abscess are usually Streptococci, Staphylococci, and Escherichia coli. There is only one case reported to be caused by Candida albicans. This is the first report of Elizabethkingia anopheles as the pathogen of the gastric wall abscess. Here, we report a case of gastric wall abscess in a 75-year-old man, safely treated by endoscopic drainage and antibiotics, confirmed by isolating the contents of the abscess.

show abstract

Section: Discussionmentioning

confidence: 99%

A Case of Intramural Gastric Wall Abscess, a Rare Disease Successfully Treated with Endoscopic Incision and Drainage

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Intravenous antibiotics were administered, and the patient showed clinical improvement and tolerance to an oral diet. Streptococci are the most prevalent bacterium recovered in cultures of stomach abscess contents, accounting for 75% of cases 8 . Other pathogens detected include Staphylococci, E. coli, Haemophilus Influenzae, Proteus species, Clostridium Welchii, Pseudomonas Aeruginosa, and Bacillus Subtilis 9 …”

Section: Discussionmentioning

confidence: 99%

“…Streptococci are the most prevalent bacterium recovered in cultures of stomach abscess contents, accounting for 75% of cases. 8 Other pathogens detected include Staphylococci, E. coli, Haemophilus Influenzae, Proteus species, Clostridium Welchii, Pseudomonas Aeruginosa, and Bacillus Subtilis. 9 The case highlights the complex and challenging nature of managing perforated gastric adenocarcinoma with intra-abdominal abscesses.…”

Section: Case Presentationmentioning

confidence: 99%

Gastric adenocarcinoma complicated by an intra‐abdominal abscess: A case report

Rentiya,

Chu Carredo,

Owolabi

et al. 2023

Clinical Case Reports

View full text Add to dashboard Cite

Perforated gastric adenocarcinoma is a rare and challenging complication of gastric cancer, which can lead to intra‐abdominal abscesses and other complications. Management of perforated gastric adenocarcinoma with an intra‐abdominal abscess requires a multidisciplinary approach, including empiric antibiotic therapy and fluid resuscitation, partial gastrectomy with Roux‐en‐Y reconstruction, and image‐guided drainage. This case report highlights the complex and challenging nature of managing perforated gastric adenocarcinoma with intra‐abdominal abscesses. Prompt recognition and timely intervention are essential for favorable outcomes. Postoperative care and close follow‐up are also important.

show abstract

“…Prior methods described for endoscopic drainage include needle-knife fenestration 1 , 2 , 3 and pigtail catheter placement. 4 Recently, lumen-apposing metal stents (LAMSs) were designed for drainage of pancreatic fluid collections and are recommended as a first-line alternative to plastic stents. 5 However, the use of LAMSs in drainage of a gastric intramural abscess has not previously been reported.…”

Section: Introductionmentioning

confidence: 99%

Drainage of gastric intramural abscesses using lumen-apposing metal stents

et al. 2021

View full text Add to dashboard Cite

BACKGROUNDGastric intramural abscesses are rare and often related to foreign body trauma. Owing to location and general nonresponse to broad-spectrum antimicrobial therapy, endoscopic drainage is often used.To date, there are few cases in the literature. Prior methods described for endoscopic drainage include needle-knife fenestration 1-3 and pigtail catheter placement. 4 Recently, lumen-apposing metal stents (LAMSs) were designed for drainage of pancreatic fluid collections and are recommended as a first-line alternative to plastic stents. 5 However, the use of LAMSs in drainage of a gastric intramural abscess has not previously been reported.This video case presentation highlights an 83-year-old man with a history of diabetes mellitus and prostate carcinoma that had previously been resected and treated with taxotere. The patient presented with abdominal pain, nausea, and intermittent fever. He was found to have a leukocytosis, and CT of the abdomen/pelvis with intravenous contrast demonstrated a large gastric intramural ab-

show abstract

Gastric wall abscess – an uncommon condition treated by an alternative form

Cited by 5 publications

References 15 publications

A Case of Intramural Gastric Wall Abscess, a Rare Disease Successfully Treated with Endoscopic Incision and Drainage

A Case of Intramural Gastric Wall Abscess, a Rare Disease Successfully Treated with Endoscopic Incision and Drainage

Gastric adenocarcinoma complicated by an intra‐abdominal abscess: A case report

Drainage of gastric intramural abscesses using lumen-apposing metal stents

Contact Info

Product

Resources

About