Intramural Gastric AbscessCase History and Review

Successful Treatment of Early-Diagnosed Primary Phlegmonous Gastritis

“…Typical clinical manifestations are reported to include epigastric pain, vomiting, and fever. Epigastric pain, which is sometimes relieved by sitting in an upright position (Deininger's sign), and purulent emesis, although rare, are typical signs of this condition (9). In this case, we observed Deininger's sign, in which abdominal pain becomes more severe in the supine position and is relieved with the sitting position, throughout the clinical course.…”

Pseudomyxoma peritonei syndrome 12 months after an intact resection of malignant mucocele of the appendix: A case report

“…The localized form accounts for 5 to 15% of all cases 1–4. The more common diffuse form is characterized by involvement of the gastric submucosa, with posterior extension into all layers of the gastric wall, and results in extensive gangrene of the stomach 1,9.…”

“…The localized form accounts for 5 to 15% of all cases 1–4. The more common diffuse form is characterized by involvement of the gastric submucosa, with posterior extension into all layers of the gastric wall, and results in extensive gangrene of the stomach 1,9. Microscopically, the stomach exhibits marked submucosal thickening, with flattening of the overlying mucosa and loss of the normal folds, an appearance that mimics Gastro intestinal stromal tumors 9.…”

Gastric Outlet Obstruction Induced by a Gastric Wall Abscess after Cholecystitis

“…Idiopathic GWAs are defined as abscesses with an uncertain cause. Based on the extent of the disease, GWAs may appear as either diffuse, suppurative gastritis (diffuse GWA) (7,8) or a focal, intramural abscess (localized GWA) (6, 9), accounting for 5-15% of cases (10).…”

“…EUS findings indicative of diffuse type GWA include thickening of the gastric wall, primarily in the submucosa, with a blurred interface between the submucosa and muscularis propria (15,17). In cases of localized GWA, EUS demonstrates the presence of hypoechoic lesions within the submucosa (10,18).…”