PHLEGMONOUS GASTRITIS AFTER UPPER GASTROINTESTINAL ENDOSCOPY: A CASE REPORT

DOI
  • ODA Mayu
    Department of Gastroenterology, Matsuyama Shimin Hospital.
  • KISAKA Yoshiyasu
    Department of Gastroenterology, Matsuyama Shimin Hospital.
  • TANAKA Yoshinori
    Department of Gastroenterology, Matsuyama Shimin Hospital.
  • YOKOYAMA Katsura
    Department of Gastroenterology, Matsuyama Shimin Hospital.
  • SHIMAMOTO Toyoki
    Department of Gastroenterology, Matsuyama Shimin Hospital.
  • CAO Fang
    Department of Gastroenterology, Matsuyama Shimin Hospital.
  • TABO Yuri
    Department of Gastroenterology, Matsuyama Shimin Hospital.
  • HIRAOKA Aya
    Department of Gastroenterology, Matsuyama Shimin Hospital.
  • TAZUYA Nayu
    Department of Gastroenterology, Matsuyama Shimin Hospital.
  • MIZUKAMI Yuji
    Department of Gastroenterology, Matsuyama Shimin Hospital.

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Other Title
  • EGD後に発症した胃蜂窩織炎の１例

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Abstract

<p>A 61-year-old man was regularly followed up as an outpatient after receiving treatment for alcoholic cirrhosis and esophageal varices. The patientʼs gastric mucosa was injured by the scope during follow-up EGD; however, the bleeding resolved spontaneously. On day 9 after the EGD, the patient experienced epigastralgia and developed a fever. CT performed the following day revealed diffuse thickening of the gastric wall, which was attributed to phlegmonous gastritis. The patient was administered ampicillin sodium/sulbactam sodium. Blood culture of a biopsy specimen obtained during EGD on day 5 of hospitalization revealed alpha-hemolytic streptococci, which were also detected in the culture of the blood sample drawn on admission. Post-EGD phlegmonous gastritis is rare; however, immunocompromised patients with comorbidities such as diabetes, liver cirrhosis, and cancer are predisposed to this condition.</p>

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