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World J Gastroenterol. Feb 28, 2013; 19(8): 1330-1332
Published online Feb 28, 2013. doi: 10.3748/wjg.v19.i8.1330
Published online Feb 28, 2013. doi: 10.3748/wjg.v19.i8.1330
Phlegmonous gastritis after esophagectomy: A case report
Jun-Qiang Fan, Gang Chen, Department of Thoracic Surgery, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, Zhejiang Province, China
Da-Ren Liu, Chao Li, Department of General Surgery, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, Zhejiang Province, China
Author contributions: The authors contributed equally to this work.
Correspondence to: Jun-Qiang Fan, MD, Department of Thoracic Surgery, Second Affiliated Hospital, School of Medicine, Zhejiang University, 88 Jiefang St, Hangzhou 310009, Zhejiang Province, China. fanfun@126.com
Telephone: +86-571-87783570 Fax: +86-571-87783570
Received: November 4, 2012
Revised: January 3, 2013
Accepted: January 23, 2013
Published online: February 28, 2013
Processing time: 116 Days and 21.9 Hours
Revised: January 3, 2013
Accepted: January 23, 2013
Published online: February 28, 2013
Processing time: 116 Days and 21.9 Hours
Abstract
Phlegmonous gastritis is an unusual infection of the gastric wall, which is extremely rare and associated with a poor prognosis. Here, we report the case of a 65-year-old male patient with a history of splenectomy, who had phlegmonous gastritis after esophagectomy. Computed tomography revealed a remarkably distended thoracic stomach, and the gastric wall was locally thickened. Gastric mucosa was red and white in color and significantly edematous on gastroscopy. He was successfully treated with a combination of antibiotics and povidone-iodide intraluminal lavage. In addition to this case, the clinical presentations, imaging examinations as well as treatments of phlegmonous gastritis are discussed.
Keywords: Phlegmonous gastritis; Esophagectomy; Splenectomy; Computed tomography