Gastric wall abscess, Phlegmonous gastritis"/> A Case of Focal Intramural Abscess Due to a Fish Bone Ingestion in a Healthy Middle Aged Woman
Korean J Gastrointest Endosc > Volume 42(2); 2011 > Article
Korean Journal of Gastrointestinal Endoscopy 2011;42(2): 105-108.
건강한 중년여성에서 생선 가시 섭취에 의해 발생한 국소적 위벽 농양 1예
대전선병원 내과, *소화기내과
A Case of Focal Intramural Abscess Due to a Fish Bone Ingestion in a Healthy Middle Aged Woman
Sang Hun Ko, M.D., Gye Sung Lee, M.D.*, Jae I Ko, M.D., Hyng Sik Yun, M.D., Sung Keun Kim, M.D., Sung Ho Kim, M.D., Chan Woo Park, M.D. and Gwan Woo Nam, M.D.*
Department of Internal Medicine, *Division of Gastroenterology, Daejeon Sun General Hospital, Daejeon, Korea
Gastric wall abscess is a one form of phlegmonous gastritis and there are scare reports on this. Gastric wall abscess is a purulent inflammatory disease and it is commonly caused by a focal injury to the gastric mucosa such as a penetrating trauma from an ingested foreign body or an endoscopic biopsy where by bacterial infection occurs throughout all the layers of the gastric wall. With symptoms such as abdominal pain and fever, making the diagnosis after an operation was possible in the past, but it has recently become possible to make the diagnosis before the operation via esophagogastroduodenoscopy, endoscopic ultrasonography and/or abdominal computed tomography. We recently experienced a case of gastric wall abscess that was associated with a foreign body (presumably a fish bone) in a healthy middle aged woman. By performing generalized esophagogastroduodenoscopy and abdominal computed tomography at a primary medical institution, we made an early diagnosis and treated the patient. Herein, we report on this case and we review the relevant literature. (Korean J Gastrointest Endosc 2011;42:105-108)
Key Words: Gastric wall abscess, Phlegmonous gastritis
주요어: 위벽 농양, 봉와직성 위염
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