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Korean J Gastrointest Endosc > Volume 31(1); 2005 > Article
Korean Journal of Gastrointestinal Endoscopy 2005;31(1): 44-48.
항생제로만 치유된 급성 봉소염성 위염 1예
이태희·이기세·임의혁·허규찬·강영우·정현용*·최용우
건양대학교 의과대학 내과학교실, *충남대학교 의과대학 내과학교실
A Case of Acute Phlegmonous Gastritis Treated with Antibiotics Alone
Tae Hee Lee, M.D., Gi Se Lee, M.D., Euyi Hyeog Im, M.D., Kyu Chan Huh, M.D., Young Woo Kang, M.D., Hyun Yong Jeong, M.D.* and Young Woo Choi, M.D.
Department of Internal Medicine, Konyang University College of Medicine, *Department of Internal Medicine, Chungnam National University College of Medicine, Daejeon, Korea
Abstract
Acute phlegmonous gastritis is a rare disorder in which bacterial infection occurs in the gastric wall. Gastrectomy involving the affected area has been thought to be an effective form of treatment. The mortality rate remains extremely high despite therapy with antibiotics. The authors report a case of a 59-year-old man who had severe abdominal pain with signs of peritonitis. Endoscopy showed edematous and thickened mucosal fold with narrow lumen and yellow, whitish exudate-like materials on mucosal surface in the whole stomach. Gastric juice culture revealed the growth of Enterococcus faecalis. Contrast-enhanced CT scan of abdomen showed diffuse extensive mural thickening with hypodense area from the fundus to the antrum. The lumen was narrowed, but there was no gastric outlet obstruction. There was marked thickening of gastric wall (submucosal layer) on EUS examination. Through early diagnosis without laparotomy, the patient was successfully treated with antibiotics alone without complication. (Korean J Gastrointest Endosc 2005;31:44⁣48)
Key Words: Phlegmonous gastritis, Antibiotics
주요어: 봉소염성 위염, 항생제
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