Phlegmonous gastritis after biloma drainage:A case report and review of the literature  

作　　者：Kai-Chun Yang Hsin-Yu Kuo Jui-Wen Kang 

机构地区：[1]Department of Internal Medicine,National Cheng Kung University Hospital,Tainan 704,Taiwan

出　　处：《World Journal of Clinical Cases》2022年第33期12430-12439,共10页世界临床病例杂志

摘　　要：BACKGROUND Phlegmonous gastritis(PG)is a rare bacterial infection of the gastric submucosa and is related to septicemia,direct gastric mucosal injury,or the direct influence of infection or inflammation in neighboring organs.Here,we present a patient who had spontaneous biloma caused by choledocholithiasis and then PG resulting from bile leakage after biloma drainage.CASE SUMMARY A 79-year-old man with a medical history of hypertension had persistent diffuse abdominal pain for 4 d.Physical examination showed stable vital signs,icteric sclera,diffuse abdominal tenderness,and muscle guarding.Laboratory tests showed hyperbilirubinemia and bandemia.Contrast computed tomography(CT)of the abdomen showed a dilated common bile duct and left subphrenic abscess.Left subphrenic abscess drainage revealed bilious fluid,and infected biloma was confirmed.Repeated abdominal CT for persistent epigastralgia after drainage showed gastric wall thickening.Esophagogastroduodenoscopy(EGD)showed an edematous,hyperemic gastric mucosa with poor distensibility.The gastric mucosal culture yielded Enterococcus faecalis.PG was diagnosed based on imaging,EGD findings,and gastric mucosal culture.The patient recovered successfully with antibiotic treatment.CONCLUSION PG should be considered in patients with intraabdominal infection,especially from infected organs adjacent to the stomach.

关 键 词：Phlegmonous gastritis Epigastric pain CHOLEDOCHOLITHIASIS Bile leakage ANTIBIOTICS Case report 

分 类 号：R573.3[医药卫生—消化系统]