Lei Jiaming, Wu Ling
Department of Gastroenterology, People's Hospital of Leshan, Leshan, CHN.
Department of Cardiology, The Affiliated Hospital of Southwest Medical University, Luzhou, CHN.
Cureus. 2025 Feb 16;17(2):e79087. doi: 10.7759/cureus.79087. eCollection 2025 Feb.
Gastrointestinal diseases encompass a wide range of etiologies, including tumor-related, infectious, ischemic, immune-mediated, and vascular conditions, all of which can present with similar imaging features. Among these, phlegmonous gastroenteritis is a rare, acute gastrointestinal infection characterized by purulent inflammation in the submucosal and muscular layers of the gastrointestinal wall. Clinical manifestations typically include sudden abdominal pain, nausea, vomiting, fever, and abdominal distension, with imaging showing gastrointestinal wall thickening and stromal edema. The disease's nonspecific clinical and imaging features often lead to misdiagnosis. This report describes two cases of acute abdominal pain with gastrointestinal wall thickening and edema, providing insights into the early identification of phlegmonous gastroenteritis. Both patients recovered completely after empirical antibiotic therapy, highlighting the importance of early imaging diagnosis, endoscopy, and histopathological analysis in managing this rare condition. Early recognition and intervention are essential to prevent severe complications and improve patient outcomes.
胃肠道疾病病因广泛，包括肿瘤相关、感染性、缺血性、免疫介导性和血管性疾病，所有这些疾病都可能表现出相似的影像学特征。其中，蜂窝织炎性胃肠炎是一种罕见的急性胃肠道感染，其特征是胃肠道壁黏膜下层和肌层出现脓性炎症。临床表现通常包括突发腹痛、恶心、呕吐、发热和腹胀，影像学表现为胃肠道壁增厚和间质水肿。该疾病非特异性的临床和影像学特征常导致误诊。本报告描述了两例伴有胃肠道壁增厚和水肿的急性腹痛病例，为蜂窝织炎性胃肠炎的早期识别提供了见解。两名患者在经验性抗生素治疗后均完全康复，突出了早期影像诊断、内镜检查和组织病理学分析在处理这种罕见疾病中的重要性。早期识别和干预对于预防严重并发症和改善患者预后至关重要。
