Korean Journal of Gastrointestinal Endoscopy 1995;15(1): 79-83.
증례 : 급성 봉소염성 위염 2예 ( Case Reports : Two Cases of Acute Phlegmonous Gastritis )
이창홍, 박영태, 최경묵, 권영주, 박명규, 이영호, 표희정 (Chang Hong Lee, Young Tae Bak, Kyung Mook Choi, Young Joo Kwon, Myung Gue Park, Young Ho Lee and Heui Jung Pyo)
Abstract
We had experienced 2 cases of acute phlegmonous gastritis confirmed by endoscopy, microbiological study and surgical pathologic findings. The first was a 61- year-old female who had been diagnosed as the communicating hydrocephalus and the other was a healthy 60-year-old female. Enterococcus fecalis & Klebsiella pneumoniae, Enterococcus fecalis & E.coli were cultured from the gastric tissue and juice obtained by endoscopy in each patient. In both patients, endoscopic findings showed numerous large ulcers and edema with necrotic material and exudate over the whole stomach. Operation findings were markedly edematous and overall ulcerative mucosa in one patient, and hyperemic outlet stricture in the other. Pathologic findings were acute necrotizing inflammation, involving the mucosa and submucosal layer, consistent with acute phlegmonous gastritis. After operation and antibiotics therapy, the patients were rapidly improved. We reported 2 cases of acute phlegmonous gastritis with the review of literature.
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