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Endosonographic diagnosis and follow-up of phlegmonous gastritis

✍ Scribed by Yukiko Kan-no; Atsushi Irisawa; Tadayuki Takagi; Goro Shibukawa; Takeru Wakatsuki; Eiji Suzuki; Haruyo Iwadate; Tomomi Sasajima; Hidemichi Imamura; Yuta Takahashi; Takuto Hikichi; Hiromasa Ohira

Publisher
John Wiley and Sons
Year
2007
Tongue
English
Weight
141 KB
Volume
35
Category
Article
ISSN
0091-2751

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✦ Synopsis

Abstract

We report a case of phlegmonous gastritis in a 36‐year‐old man presenting with anorexia, epigastralgia, and high fever. Endoscopy showed an edematous lesion suggesting a submucosal lesion. Endosonography revealed thickening of the gastric wall, mainly involving the submucosa, with a few anechoic areas. The separation between the submucosa and the muscularis propria was unclear. The patient was treated with antibiotics and endoscopic mucosal resection. Culture of the aspirated pus from the lesion revealed Streptococcus pyogenes. Follow‐up endosonography performed 1 week later showed significant improvement. Β© 2007 Wiley Periodicals, Inc. J Clin Ultrasound, 2007

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