Gastric Outlet Obstruction Induced by a Gastric Wall Abscess after Cholecystitis

Abstract

In December 2011, an 84-year-old Japanese man was admitted with severe cholecystitis. We treated the cholecystitis using antibiotics, and his symptoms improved. In March 2012, he was readmitted after experiencing a sudden bloating sensation and vomiting. We determined that a gastric wall abscess had protruded into the antrum. The gastric wall was adjacent to the gallbladder, and the gastric abscess was related to a known case of cholecystitis. Upper gastrointestinal endoscopy indicated that the abscess was under the mucous membrane of the gastric antrum. Pus, exuding from the abscess, was aspirated with an endoscope.

Phlegmonous Gastritis: A Report of Three Cases with Clinical and Imaging Features

“…Phlegmonous gastritis is classified into primary, secondary, and idiopathic types (3,4). Primary phlegmonous gastritis is the most common type and it is normally caused by mucosal injury due to gastric cancer or peptic ulcer.…”

Upper Gastrointestinal Manifestation of Bezoars and the Etiological Factors: A Literature Review

“…(4) Bouveret's syndrome is a very rare form of gallstone ileus caused by the passage and impaction of a large gallstone which passes into the duodenal bulb through a cholecystogastric or cholecystoduodenal fistula and ultimately blocks gastric outflow [24, 25]. Gastric-outlet-obstruction can be due to bacterial infection or gastric wall abscess after cholecystitis [26]. (5) Hypothyroidism, myxoedema or underactive thyroid, is mostly seen in women and is believed to cause gastric bezoar.…”

“…Adults with pyloric stenosis may be due to the idiopathic hypertrophic pylorus [37] or related to underlying gastric pathology such as recurrent peptic ulcers, malignancy, and hypertrophic gastritis that weakens gastric emptying into the duodenum; as a result, all consumed foodstuff stuck in the stomach due to the pyloric obstruction and developed gastric mass [48]. Pyloric obstruction can also be a result of Bouveret's syndrome [24] and bacterial infection of the gastric wall or gastric wall abscess after cholecystitis [26]. Endoscopic submucosal dissection of the pyloric ring has also been found to be a risk factor for pyloric stenosis [38].…”

Intramural gastric abscesses in a dog

“…An intramural gastric abscess (IGA) is the localised form of suppurative gastritis, which affects more commonly the pyloric antrum (Asrani et al., 2007; Chen et al., 2018). The aetiopathogenesis of IGA is unknown in human medicine, suspected to result from a direct invasion by microorganisms secondary to gastric mucosal injuries [such as foreign bodies (FB), gastric ulcers, neoplasms], following surgery (such as gastrectomy) or endoscopic biopsies (Asrani et al., 2007; Choong et al., 2003; Khan et al., 2008; Kim et al., 2015; Lin & Huang, 2010; Oh et al., 2014; Osada et al., 2007; Soga et al., 2014).…”