Endoscopic sonography in the diagnosis and treatment of a gastric wall abscess: A case report and review of the literature

Yang, Chia-Wei; Yen, Hsu‐Heng

doi:10.1002/jcu.20780

Cited by 11 publications

(13 citation statements)

References 17 publications

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“…Endoscopic ultrasound (EUS) showed inhomogeneous lesion of mixed echogenicity located mainly in the submucosal layer with mucosal involvement ( Fig. 1C ), consistent with the reported features of EUS of gastric wall abscess [ 3 ]. Streptococcus spp.…”

supporting

confidence: 83%

Spontaneous resolution of intramural gastric abscess without treatment

Hashimoto

Chonan

2016

aog

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supporting

confidence: 83%

Spontaneous resolution of intramural gastric abscess without treatment

Hashimoto

Chonan

2016

aog

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“…Typical manifestations under EUS are thickening of the gastric wall with a localized hypoechoic mass, which has heterogeneously mixed echogenicity, mainly fluid echo, and few gas or foreign body echoes distributed in the muscular layer or sub-mucosal layer. [ 1 , 7 , 10 ] The abscess lesion often progresses to involve several layers of the gastric wall. If whole layers disappear under EUS observation, then more caution should be used to avoid a misdiagnosis of gastric cancer.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, therapeutic endoscopic interventions have increasingly replaced surgery and have become a more promising method of treating intramural gastric abscesses. [ 1 , 10 , 12 ] Endoscopic drainage includes mucosa resection with a snare, needle-knife incision, forceps, and puncture needle, with or without a drainage catheter. Percutaneous drainage and antibiotics are also used.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic challenges in differentiating intramural gastric abscess from gastric cancer

Chen

Han

2018

Medicine

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Rationale:Intramural gastric abscess is a rare clinical condition. It is frequently neglected because of the absence of specific clinical symptoms and misdiagnosed due to the difficulty in differentiating a benign lesion from a malignant one on the gastric wall. Several imaging techniques are helpful for identifying an intramural gastric abscess. Nevertheless, a definite diagnosis is still challenging, and unnecessary surgery is sometimes performed. Therefore, more information regarding case experiences should be shared to help correctly diagnose intramural gastric abscesses.Patient concerns:Two patients, a 47-year-old woman and a 31-year-old man, were hospitalized for abdominal pain.Diagnosis and interventions:In addition to routine blood tests, either two or three imaging examinations, including esophagogastroduodenoscopy (EGD), computed tomography (CT), and endoscopic ultrasonography (EUS), were performed for these patients. The first patient was diagnosed with gastric cancer metastasized to the gastrocolic ligament, and the other was suspected to have a gastric wall abscess secondary to cancer of unknown origin. Both patients underwent surgery.Ourcomes:Surgery revealed a gastric wall abscess involving the colon in the first patient. She recovered after using oral antibiotics for 1 week, and she showed no discomfort or abnormalities during follow-up examinations. The second patient was diagnosed with gastric wall abscess derived from metastasized gastric cancer with a primary tumor located at the splenic flexure of the colon. He was discharged because of intolerance to chemotherapy and died before follow-up.Lessons:EGD, CT, and EUS/fine-needle aspiration (EUS/FNA) are extremely valuable for differentiating an intramural gastric abscess from gastric cancer, and misdiagnoses can occur if any of these assessments is ignored. Hence, we recommend performing EGD, CT, and EUS/FNA as part of the routine examination when either of these two diseases is suspected clinically.

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“…Perilesional increased flow on color Doppler US indicates a gastric wall abscess. EUS-guided aspiration may also help to confirm the diagnosis although it may be difficult to aspirate thick and viscous pus with a small gauge needle (7).…”

Section: Discussionmentioning

confidence: 99%

A Rare Entity in Children: Gastric Abscess

Ergün¹,

Yıldız²,

Göllü³

et al. 2016

Turkish J Pediatr Dis

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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.

show abstract

Endoscopic sonography in the diagnosis and treatment of a gastric wall abscess: A case report and review of the literature

Cited by 11 publications

References 17 publications

Spontaneous resolution of intramural gastric abscess without treatment

Spontaneous resolution of intramural gastric abscess without treatment

Diagnostic challenges in differentiating intramural gastric abscess from gastric cancer

A Rare Entity in Children: Gastric Abscess

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