A Rare Entity in Children: Gastric Abscess

Abstract

An 11-year-old boy presented to the hospital with complaints of abdominal pain and vomiting that had started two days ago. He had been followed-up for Myasthenia Gravis for three and half years and was receiving prednisolone and pyridostigmine. On physical examination, his condition was stable. His body mass index was 28.6 (overweight), body temperature 38.7°C, heart rate 110/min and blood pressure 110/70 mmHg. INTRODUcTION Gastric wall abscesses are rare infectious pathologies. They can be seen in situations such as immune suppression and failure in the integrity of gastric wall mucosa (1,2). Previous studies have shown that the pathogenesis of gastric abscesses involves direct invasion or hematogenous spread of bacteria (3). These lesions are very rare since the gastric mucosa is very resistant because of high acidity in the stomach (4). We present 11-year-old boy who had complaints of abdominal pain and vomiting and was diagnosed as gastric wall abscess.

A Case of Intramural Gastric Wall Abscess, a Rare Disease Successfully Treated with Endoscopic Incision and Drainage

“…Several publications since 2003 were reviewed, and 15 reported cases were identified including our case (Table 1). 3,4,[13][14][15][16][17][18][19][20][21][22] The technical advances of endoscopic drainage procedure have emerged as an alternative to surgical approach these days. In our case, the abscess was treated with endoscopic aspiration and irrigation after endoscopic incision.…”