Division of Oncology and Hematology, Department of Internal Medicine, Jeonbuk National University Hospital-Jeonbuk National University Medical School, Jeonju, Republic of Korea.
Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju, Republic of Korea.
Arch Iran Med. 2023 Sep 1;26(9):542-546. doi: 10.34172/aim.2023.79.
An intramural gastric abscess is a rare condition often mistaken for other medical diseases such as gastric cancer and neoplasms. We present a case of a patient initially believed to have pancreatic cancer based on his computed tomography scan. The clinical diagnosis of locally advanced gastric cancer was made on subsequent magnetic resonance cholangiography and endoscopic ultrasound (EUS). However, several EUS-guided biopsies did not reveal malignant cells. A partial gastrectomy was performed for diagnostic and therapeutic purposes. The specimen showed only inflammatory cells, without any malignant cells. The final diagnosis was gastric wall abscess (GWA) that infiltrated and adhered to the adjacent tissues. This case reminds that physicians should include GWA as a differential diagnosis in the suspicion of gastric cancer. Although GWA is rare, it is often forgotten when focusing on the possibility of fatal cancer.
胃壁脓肿是一种罕见的病症，常被误诊为其他医学疾病，如胃癌和肿瘤。我们报告了 1 例最初根据计算机断层扫描（CT）扫描被误诊为胰腺癌的患者。随后的磁共振胰胆管成像（MRCP）和内镜超声（EUS）检查提示局部进展期胃癌的临床诊断。然而，多次 EUS 引导下活检均未发现恶性细胞。为了明确诊断和治疗目的，行部分胃切除术。标本显示仅为炎症细胞，未见任何恶性细胞。最终诊断为胃壁脓肿（GWA），其浸润并黏附于邻近组织。该病例提醒医生在怀疑胃癌时应将 GWA 作为鉴别诊断之一。虽然 GWA 较为罕见，但在关注致命癌症的可能性时，往往容易被忽视。
