Successful conservative management of an intramural gastric abscess: a case report

Salim, Joshua; Menon, T. Bhaskara; Drummond, Robert J.; Page, Philip Le; Falk, Gregory L.

doi:10.1111/ans.14554

Cited by 1 publication

(1 citation statement)

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“…Different treatments have been described for IGAs in human literature, such as partial gastrectomy (Asrani et al., 2007), percutaneous drainage (Choong et al., 2003), endoscopic drainage (Kill & Rosenberg, 2001; Lin & Huang, 2010; Soga et al., 2014), endoscopic submucosal dissection (Oh et al., 2014) or conservative management with antibiotic therapy (Salim et al., 2019). Considering the large size of the IGA causing a suspected partial gastric outflow tract obstruction and the preoperative US‐guided FNA results, exploratory laparotomy was recommended.…”

Section: Discussionmentioning

confidence: 99%

Intramural gastric abscesses in a dog

Otero Balda,

Augusto,

Lassaigne

et al. 2024

J of Small Animal Practice

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A 6‐year‐old, female neutered Labrador retriever was presented with a chronic history of vomiting and anorexia. Abdominal ultrasound identified two large cavitated structures with echogenic content in the gastric fundus and pyloric region. CT revealed the intraparietal nature of these structures, one in the greater curvature and another one extending from the lesser curvature to the pyloric antrum. Surgical exploration revealed two areas of thickened gastric wall with intramural purulent material. Debridement and partial resection of the abscess (deroofing) were performed via a routine gastrotomy approach. Histopathology of a gastric wall sample revealed neutrophilic inflammation with intralesional vegetal foreign body. The presence of intralesional foreign body with a positive bacterial culture and macroscopic absence of peritonitis may suggest an intramural migrating vegetal foreign body. Gastric wall abscess should be included in a differential diagnosis in dogs with a history of chronic vomiting and the presence of gastric wall cavitated structures. Surgical debridement through a routine gastrotomy opening alleviated the clinical signs related to the intramural gastric abscesses in this dog with no recurrence at 22 months.

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