A Patient With Good Syndrome Complicated With Phlegmonous Gastritis

Campos-Murguía, Alejandro; Marfil‐Garza, Braulio A.; León-Lara, Ximena; Gutierrez, José Muñoz; Botello-Partida, Sergio L.

doi:10.14309/crj.0000000000000246

Cited by 5 publications

(2 citation statements)

References 11 publications

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“…A case of a foreign body injury causing PG in a patient with dementia was reported, highlighting the importance of considering cognitive impairment as a possible risk factor [10]. Furthermore, various routes of infection, including direct and hematogenous infection of the lumen, have been implicated and termed primary and secondary forms of PG, respectively [11,12]. Lastly, there are localized and diffuse forms of the disease with the latter form demonstrating significantly higher mortality rates (10% vs. 54%) [13,14].…”

Section: Discussionmentioning

confidence: 99%

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Phlegmonous gastritis complicated by abdominal compartment syndrome: a case report

Modares

Tabari

2021

BMC Surg

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Background Phlegmonous gastritis (PG) is a rare, suppurative bacterial infection of the gastric wall, which may rapidly evolve into fatal septicemia. The etiology and pathogenesis are poorly understood; however, multiple risk factors have been cited in current literature. Most cases have been diagnosed at autopsy, and occasionally at laparotomy, as the clinical presentation is often variable. Case presentation We report a case of a 67-year-old male presenting with intractable nausea, vomiting, and epigastric pain following an uneventful upper gastrointestinal (GI) endoscopy. Diagnostic workup including contrast tomography (CT) and endoscopic assessment was in keeping with PG. This was subsequently followed by development of abdominal compartment syndrome (ACS) and clinical deterioration necessitating surgical resection of the stomach. Conclusion This case emphasizes the importance of early diagnosis of this potentially fatal infection that can follow endoscopic procedures and illustrates ACS and septic shock as serious complications. There is currently no consensus on the proper management of PG; however, in this case, a combination of surgery and antibiotics provided a favourable outcome. Limited number of cases of PG have been reported in literature, and to our knowledge, this is the first reported case of PG with subsequent ACS as an acute complication.

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Section: Discussionmentioning

confidence: 99%

“…Diagnostic investigations for PG include abdominal ultrasound, CT scan, endoscopy, or endoscopic ultrasound; upper endoscopy is considered the diagnostic gold standard [1,2,12]. Findings on endoscopy are typically thickened and edematous gastric mucosa with occasional purulent discharge, which is pathognomonic for PG [12].…”

Section: Discussionmentioning

confidence: 99%

Phlegmonous gastritis complicated by abdominal compartment syndrome: a case report

Modares

Tabari

2021

BMC Surg

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A case of phlegmonous gastritis complicated by stomach necrosis requiring gastrectomy

Shaik,

Khatib,

George

et al. 2024

Gastroenterology & Endoscopy

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Phlegmonous gastritis after biloma drainage: A case report and review of the literature

Yang¹,

Kuo²,

Kang³

2022

World J Clin Cases

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BACKGROUND Phlegmonous gastritis (PG) is a rare bacterial infection of the gastric submucosa and is related to septicemia, direct gastric mucosal injury, or the direct influence of infection or inflammation in neighboring organs. Here, we present a patient who had spontaneous biloma caused by choledocholithiasis and then PG resulting from bile leakage after biloma drainage. CASE SUMMARY A 79-year-old man with a medical history of hypertension had persistent diffuse abdominal pain for 4 d. Physical examination showed stable vital signs, icteric sclera, diffuse abdominal tenderness, and muscle guarding. Laboratory tests showed hyperbilirubinemia and bandemia. Contrast computed tomography (CT) of the abdomen showed a dilated common bile duct and left subphrenic abscess. Left subphrenic abscess drainage revealed bilious fluid, and infected biloma was confirmed. Repeated abdominal CT for persistent epigastralgia after drainage showed gastric wall thickening. Esophagogastroduodenoscopy (EGD) showed an edematous, hyperemic gastric mucosa with poor distensibility. The gastric mucosal culture yielded Enterococcus faecalis . PG was diagnosed based on imaging, EGD findings, and gastric mucosal culture. The patient recovered successfully with antibiotic treatment. CONCLUSION PG should be considered in patients with intraabdominal infection, especially from infected organs adjacent to the stomach.

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A Patient With Good Syndrome Complicated With Phlegmonous Gastritis

Cited by 5 publications

References 11 publications

Phlegmonous gastritis complicated by abdominal compartment syndrome: a case report

Phlegmonous gastritis complicated by abdominal compartment syndrome: a case report

A case of phlegmonous gastritis complicated by stomach necrosis requiring gastrectomy

Phlegmonous gastritis after biloma drainage: A case report and review of the literature

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