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KMID : 1188320100040030415
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Gut and Liver
2010 Volume.4 No. 3 p.415 ~ p.418
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A Case of Phlegmonous Gastritis Associated with Marked Gastric Distension
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Park Chan-Woong
Kim An-Na
Cha Sang-Woo
Jung Sung-Hee
Yang Hyeon-Woong
Lee Yun-Jung
Lee Hyang-Lee
Kim Sae-Hee
Kim Yong-Hwan
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Abstract
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Phlegmonous gastritis is an acute and severe infectious disease that is occasionally fatal if the diagnosis is delayed. Alcohol consumption, an immunocompromised state (e.g., due to HIV infection, rheumatoid arthritis, diabetes mellitus, or adult T-cell lymphoma), and mucosal injury of the stomach are reported to be predisposing factors. The main treatments for phlegmonous gastritis are antibiotics administration or surgery. In this case, the patient’s stomach was markedly distended due to long-lasting gastric-outlet obstruction, which is thought to be the predisposing factor for phlegmonous gastritis. We inserted a metal stent at the obstructed site palliatively due to strong refusal by the patient for surgery. The patient recovered after stenting and antibiotic therapy.
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KEYWORD
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Phlegmonous gastritis, Gastric outlet obstruction
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