Alkubaisi Mohammed A, Mohammed Nader K, Ibrahim Ibrahim S, Rashid Hamza I
Medicine, Peterborough City Hospital, Peterborough, GBR.
Gastroenterology, Peterborough City Hospital, Peterborough, GBR.
Cureus. 2025 Apr 28;17(4):e83156. doi: 10.7759/cureus.83156. eCollection 2025 Apr.
Phlegmonous gastritis (PG) is a serious and severe suppurative gastric infection. Diagnosis is delayed due to its uncommon and non-specific clinical presentation. This led to a high mortality rate; however, early treatment with broad-spectrum antibiotics can reduce mortality and complications. We describe a case of a 56-year-old patient who presented with severe abdominal pain, vomiting, and pyrexia. Blood tests showed pancytopenia, and she was newly diagnosed with acute myeloid leukemia (AML) on this admission. Her computed tomography (CT) and endoscopic evaluation showed thickening and swelling of the gastric wall consistent with PG. She responded well to conservative treatment, and she is on regular follow-up as an outpatient. This case highlights the importance of suspecting PG in severe abdominal pain and neutropenia. This will reduce the complications, mortality, and requirement for surgical intervention.
蜂窝织炎性胃炎（PG）是一种严重的化脓性胃部感染。由于其临床表现不常见且不具有特异性，诊断往往会延迟。这导致了较高的死亡率；然而，早期使用广谱抗生素治疗可降低死亡率和并发症。我们描述了一例56岁患者，该患者出现严重腹痛、呕吐和发热。血液检查显示全血细胞减少，此次入院时新诊断为急性髓系白血病（AML）。她的计算机断层扫描（CT）和内镜检查显示胃壁增厚和肿胀，符合蜂窝织炎性胃炎。她对保守治疗反应良好，目前作为门诊患者定期随访。该病例强调了在严重腹痛和中性粒细胞减少时怀疑蜂窝织炎性胃炎的重要性。这将减少并发症、死亡率以及手术干预的需求。
