Endosonographic diagnosis and follow‐up of phlegmonous gastritis

Kanno, Yukiko; Irisawa, Atsushi; Takagi, Tadayuki; Shibukawa, Goro; Wakatsuki, Takeru; Suzuki, Eiji; Iwadate, Haruyo; Sasajima, Tomomi; Imamura, Hidemichi; Takahashi, Yuta; Hikichi, Takuto; Ohira, Hiromasa

doi:10.1002/jcu.20333

Cited by 17 publications

(7 citation statements)

References 10 publications

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“…Recently, endoscopic drainage by mucosa resection with snare, needle‐knife incision and forceps with or without antibiotics has been reported to be successful (Table 2). 2, 3, 10, 12, 16–18 Percutaneous drainage with antibiotics has also been reported 5, 19. Therefore, once a gastric wall abscess is diagnosed, EUS‐guided endoscopic therapy (as performed in the presented case) may promptly drain the abscess in the least invasive way.…”

Section: Discussionmentioning

confidence: 66%

“…5, 7–14 A gastric wall abscess has a sonographic appearance that is inhomogeneous with a predominant hypoechoic lesion located mainly in the muscularis propria or the submucosa layer. EUS findings of a diffuse gastric wall abscess are demonstrated by thethickening of the gastric wall, mainly in the submucosa, with a blurred interface between the submucosa and muscularis propria 9, 10. A complete absence of all of the wall layers has also been reported 7.…”

Section: Discussionmentioning

confidence: 99%

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

Yang

Yen

2010

J of Clinical Ultrasound

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We report a case of a gastric wall abscess in a 50-year-old man who presented with epigastralgia and fever. Gastroscopy revealed a subepithelial lesion on the posterior wall of the gastric body into the antrum. A follow-up abdominal CT scan showed cystic lesions around the stomach. Endoscopic sonography helped to diagnose a gastric wall abscess. The gastric wall abscess was treated endoscopically with a needle knife incision for internal drainage. The patient was treated with antibiotics for 1 week and was discharged without complication. A follow-up endoscopy with endoscopic sonography 1 month later revealed complete resolution of the lesion.

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Section: Discussionmentioning

confidence: 66%

Section: Discussionmentioning

confidence: 99%

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

Yang

Yen

2010

J of Clinical Ultrasound

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“…Table 2 summarizes cases of acute phlegmonous gastritis published between 2010 and 2019 caused by S. pyogenes . 1 , 8 , 9 , 14 – 20 In this review, 10 published cases showed: (a) the worldwide distribution of the disease, (b) the manifestation of STSS associated with septic shock and multi-organ failure (8/10), and (c) the high mortality rate associated with the disease (3/10 deaths). In three of the cases, the responsible microorganism was isolated from the blood while gastrectomy was necessary for four patients.…”

Section: Discussionmentioning

confidence: 91%

Phlegmonous Gastritis and Streptoccocal Toxic Shock Syndrome: An Almost Lethal Combination

Paramythiotou¹,

Cornelia²,

Athinna³

et al. 2022

Indian Journal of Critical Care Medicine

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A bstract We report a case of phlegmonous gastritis in a 70-year-old woman without any predisposing factors, presenting with high fever, epigastric pain, and vomiting complicated by septic shock and multi-organ failure. The ultrasound and the computed tomography scan showed thickening of the stomach wall. Streptococcus pyogenes was isolated in the blood, thereby establishing the diagnosis of streptococcal toxic shock syndrome. An exploratory laparotomy excluded the need for a gastrectomy, and the patient was successfully treated with antibiotics. A short review of phlegmonous gastritis caused by S. pyogenes during the last 12 years is also presented. How to cite this article: Elisabeth P, Cornelia M, Athinna S, Anastasia A, Apostolos A, George D. Phlegmonous Gastritis and Streptoccocal Toxic Shock Syndrome: An Almost Lethal Combination. Indian J Crit Care Med 2021;25(10):1197–1200.

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“…Diagnosis using GI endoscopy, particularly EUS, is considered to be the best approach. EUS can accurately identify gastric wall thickening, degree of inflammation, and other conditions (8,9). In addition, complex evaluations combining gastric juice cultures with a pathological examination of the biopsy samples obtained with the endoscope enable a definitive diagnosis to be made.…”

Section: Discussionmentioning

confidence: 99%

Phlegmonous Gastritis Associated with Group A Streptococcal Toxic Shock Syndrome

et al. 2014

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Phlegmonous gastritis (PG) is a rare, acute, severe infectious disease of the gastric wall that is often fatal due to Streptococcus spp. A 77-year-old man with diabetes and a gastric ulcer was urgently admitted due to prolonged nausea and vomiting. Computed tomography revealed widespread diffuse thickening of the gastric wall, and PG was suspected. The patient expired less than 9 hours after admission despite intensive treatments. Later, an analysis of the blood and gastric juice revealed group A streptococcus (GAS) and virulence factors associated with toxic shock syndrome (TSS). We herein diagnosed a patient with an extremely aggressive course of PG caused by GAS TSS.

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Endosonographic diagnosis and follow‐up of phlegmonous gastritis

Cited by 17 publications

References 10 publications

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

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

Phlegmonous Gastritis and Streptoccocal Toxic Shock Syndrome: An Almost Lethal Combination

Phlegmonous Gastritis Associated with Group A Streptococcal Toxic Shock Syndrome

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