Acute diffuse phlegmonous esophagogastritis: report of a survived case.

A 42-year-old man was admitted because of a persistent pain on swallowing together with epigastralgia, chest pain, fever, and shortness of breath for 5 days. An unbearable shortness of breath with a retrosternal pain was noted each time he tried to lie down. The patient also developed bilateral pleural effusion and pericardial effusion. Ten days after admission, he underwent an emergency laparotomy after an acute episode of severe epigastralgia with hematemesis and rebound tenderness limited to the epigastrium. Operative findings showed diffuse phlegmonous esophagogastritis. A near-total esophagectomy and a total gastrectomy were done. He lost 15 kilograms of body weight and was discharged 3 months later. The patient underwent reconstructive surgery 2 months after discharge, recovered well and regained his weight within one year.