Yang Chia-Wei, Yen Hsu-Heng
Department of Gastroenterology, Changhua Christian Hospital, Changhua, Taiwan.
J Clin Ultrasound. 2012 Feb;40(2):105-8. doi: 10.1002/jcu.20780. Epub 2010 Dec 28.
We report a case of a gastric wall abscess in a 50-year-old man who presented with epigastralgia and fever. Gastroscopy revealed a subepithelial lesion on the posterior wall of the gastric body into the antrum. A follow-up abdominal CT scan showed cystic lesions around the stomach. Endoscopic sonography helped to diagnose a gastric wall abscess. The gastric wall abscess was treated endoscopically with a needle knife incision for internal drainage. The patient was treated with antibiotics for 1 week and was discharged without complication. A follow-up endoscopy with endoscopic sonography 1 month later revealed complete resolution of the lesion.
我们报告一例50岁男性胃壁脓肿病例，该患者表现为上腹部疼痛和发热。胃镜检查发现胃体后壁至胃窦有一个上皮下病变。后续腹部CT扫描显示胃周围有囊性病变。内镜超声有助于诊断胃壁脓肿。通过针刀切开进行内镜下内引流治疗胃壁脓肿。患者接受了1周的抗生素治疗，无并发症出院。1个月后进行的内镜超声随访内镜检查显示病变完全消退。
