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KMID : 0931320130130030202
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대한상부위장관.헬리코박터학회지
2013 Volume.13 No. 3 p.202 ~ p.206
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A Case of Acute Phlegmonous Gastritis Diagnosed with Endoscopic Submucosal Biopsy and Bacterial Culture and Improved by Antibiotics Treatment
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Song Mi-Ae
Chang Jae-Hyuck
Jung Mo-Eun
Son Sang-Won
Kim Tae-Ho
Kim Chang-Whan
Han Sok-Won
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Abstract
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Phlegmonous gastritis is a rare disease of acute suppurative inflammation in the stomach wall. It is rapidly progressive and poten-tially fatal. Its mortality rate remains very high because the clinical diagnosis is often delayed. Many patients with phlegmonous gas-tritis undergo surgery. We present the case of 63-year-old woman with epigastric pain, fever, nausea and vomiting. The presumed diagnosis of acute phlegmonous gastritis was made by esophagogastroduodenoscopy, abdominal computed tomography, endo-scopic ultrasonography and deep submucosal biopsy assisted with hook knife. Acinetobacter baumannii was cultured in the aspira-tion from the stomach. We treated the patient with antibiotics alone. Early recognition of phlegmonous gastritis by endoscopic biop-sies and bacteriological study may improve the prognosis of these patient.
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KEYWORD
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Phlegmonous gastritis, Biopsy, Needle, Anti-bacterial agents
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