Iwakiri Y, Kabemura T, Yasuda D, Okabe H, Soejima A, Miyagahara T, Okadome K
Department of Internal Medicine, Saiseikai Fukuoka General Hospital, Japan.
J Clin Gastroenterol. 1999 Mar;28(2):175-7. doi: 10.1097/00004836-199903000-00020.
Acute phlegmonous gastritis is a rare disorder in which bacterial infection occurs in the gastric wall. Gastrectomy involving the affected area has been thought to be an effective form of treatment. The authors report a case of a 32-year-old woman who had severe upper abdominal pain without signs of peritoneal irritation. Endoscopy showed edematous and reddened gastric mucosa with a mass lesion in the gastric antrum. Endoscopic ultrasonography showed thickening of the antral wall and a low-echoic mass in the gastric antrum, thought to represent a fluid collection. White pus was aspirated from the mass. Localized type of acute phlegmonous gastritis with a gastric abscess was diagnosed. Culture of the pus showed Streptococcus pneumoniae. Through early diagnosis without laparotomy, the patient's gastritis was successfully treated with antibiotics alone.
急性蜂窝织炎性胃炎是一种罕见的疾病，其胃壁会发生细菌感染。涉及病变区域的胃切除术一直被认为是一种有效的治疗方式。作者报告了一例32岁女性病例，该患者有严重的上腹部疼痛，但无腹膜刺激征。内镜检查显示胃黏膜水肿、发红，胃窦有一肿块病变。内镜超声检查显示胃窦壁增厚，胃窦内有一低回声肿块，考虑为液性聚集。从肿块中抽出白色脓液。诊断为局限性急性蜂窝织炎性胃炎伴胃脓肿。脓液培养显示为肺炎链球菌。通过早期诊断且未进行剖腹手术，患者的胃炎仅用抗生素就成功治愈。
