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KMID : 0359020100410020098
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Korean Journal of Gastrointestinal Endoscopy
2010 Volume.41 No. 2 p.98 ~ p.101
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Gastric Wall Abscess Caused by a Fish Bone and Treated with Endoscopic Management
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Jun Won-Jung
Rew Jong-Sun
Cho Yong-Chan
Noh Du-Young
Kim Sung-Kyun
Kim Hyun-Soo
Choi Sung-Kyu
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Abstract
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Intramural gastric abscess is a rare condition representing a localized form of suppurative gastritis. According to the extent of the disorder, suppurative gastritis is classified into diffuse and localized types. The diffuse or phlegmonous type is more common and involves the entire stomach with inflammation spreading to all layers from the submucosa. The localized form referred to as “intramural gastric abscess” accounts for 5% to 15% of cases. The pathogenic mechanism includes direct invasion by microorganisms and hematogenous spread from a distant source. Cases are usually diagnosed with a combination of imaging modalities such as ultrasound, computed tomography, endoscopic ultrasound, and esophagogastroduodenoscopy. Herein we report a case of intramural gastric abscess that developed following ingestion of a fish bone. It was successfully treated with endoscopic incision and drainage of pus.
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KEYWORD
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Gastric abscess, Suppurative gastritis, Fish bone, Endoscopic treatment
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