Department of Gastroenterology, Hiroshima City Asa Citizens Hospital, Japan.
Intern Med. 2021 May 1;60(9):1383-1387. doi: 10.2169/internalmedicine.5990-20. Epub 2020 Dec 7.
A 72-year-old man had undergone uncomplicated endoscopic submucosal dissection (ESD) with en bloc resection of a localized 20-mm IIc lesion in the anterior wall of the gastric angle. Twenty-eight days later, he was re-admitted with epigastric pain of one-week duration. Contrast-enhanced computed tomography (CT) revealed a 60-mm mass bordered by viscera; repeat endoscopy confirmed a smooth elevated submucosal tumor at the greater curvature on the oral side of the post-ESD ulcer. We diagnosed him with a perigastric abscess as a complication of ESD and performed endoscopic ultrasound-guided drainage. Subsequently, the symptoms and blood inflammatory parameters improved, and follow-up CT showed the disappearance of the abscess.
一位 72 岁男性因胃角前壁局限性 20mm IIc 病变接受了单纯内镜黏膜下剥离术（ESD）整块切除。28 天后，他因上腹痛再次入院，病程为一周。增强 CT 显示一个 60mm 大小的肿块，边界为内脏；重复内镜检查确认在 ESD 溃疡的口侧胃大弯处有一个光滑的隆起性黏膜下肿瘤。我们诊断为 ESD 术后胃周脓肿并发症，并进行了内镜超声引导下引流。随后，症状和血液炎症参数改善，随访 CT 显示脓肿消失。
