Blei E D, Abrahams C
Gastroenterology. 1983 Mar;84(3):636-9.
Phlegmonous gastritis and enterocolitis have been observed in association with alcoholism and hepatic cirrhosis. We report a case of diffuse phlegmonous gastroenterocolitis that occurred 1 yr after the insertion of a peritoneojugular venous shunt (Denver type) in a young male heroin abuser with postnecrotic cirrhosis. Diplococcus pneumoniae was cultured from the occluded distal tip of the shunt and the organism was visualized throughout the inflamed submucosa of the entire gastrointestinal tract. The diagnosis of this condition was not made premortem and the case highlights some of the clinical manifestations of this gastrointestinal disease. The possible pathogenetic mechanisms involved in this inflammatory process are discussed.
蜂窝织炎性胃炎和小肠结肠炎已被观察到与酒精中毒和肝硬化相关。我们报告一例弥漫性蜂窝织炎性胃肠结肠炎病例，该病例发生在一名患有坏死后肝硬化的年轻男性海洛因滥用者接受颈静脉腹膜分流术（丹佛型）1年后。从分流管闭塞的远端尖端培养出肺炎双球菌，并且在整个胃肠道发炎的黏膜下层均可见到该微生物。该疾病在生前未被诊断出来，该病例突出了这种胃肠道疾病的一些临床表现。文中讨论了这一炎症过程中可能涉及的发病机制。
