Clinical Endoscopy

Gastric wall abscess after endoscopic submucosal dissection: Seung Jung Yu, Sang Heon Lee, Jun Sik Yoon, Hong Sub Lee, Sam Ryong Jee; Clin Endosc 2023;56(1):114-118. Published online January 3, 2022; DOI: https://doi.org/10.5946/ce.2021.203

Gastric wall abscess, a localized form of phlegmonous gastritis, is a rare complication of endoscopic resection. We report the first case of gastric wall abscess developing after endoscopic submucosal dissection in Korea. A 72-year-old woman visited our clinic to receive treatment for gastric adenoma. The patient successfully underwent endoscopic submucosal dissection with no complications. The final diagnosis was well-differentiated tubular adenocarcinoma. We performed follow-up endoscopy 10 weeks later and found a large subepithelial lesion on the posterior wall of the gastric antrum. Abdominal computed tomography revealed hypodense wall thickening and a 5 cm heterogenous multilobular mass in the submucosal layer of the gastric antrum. Submucosal invasion with mucin-producing adenocarcinomas could therefore not be excluded. The patient agreed to undergo additional gastrectomy due to the possibility of a highly malignant lesion. The final diagnosis was acute suppurative inflammation with the formation of multiple abscesses in the mural layers and omentum. The patient was discharged with no complications.

Citations

Citations to this article as recorded by

A case of gastric sinus abscess, a rare disease successfully treated by endoscopic incision and drainage
Weijing Wang, Teng Wang, Duo Wei, Rong Zhang
Clinical Journal of Gastroenterology.2026;[Epub] CrossRef
Phlegmonous gastritis after biloma drainage: A case report and review of the literature
Kai-Chun Yang, Hsin-Yu Kuo, Jui-Wen Kang
World Journal of Clinical Cases.2022; 10(33): 12430. CrossRef

7,712 View
305 Download
5 Web of Science
2 Crossref

A Case of Focal Intramural Abscess Due to a Fish Bone Ingestion in a Healthy Middle Aged Woman: Sang Hun Ko, M.D., Gye Sung Lee, M.D.*, Jae I Ko, M.D., Hyng Sik Yun, M.D., Sung Keun Kim, M.D., Sung Ho Kim, M.D., Chan Woo Park, M.D. and Gwan Woo Nam, M.D.*; Korean J Gastrointest Endosc 2011;42(2):105-108. Published online February 28, 2011

Abstract PDF: Gastric wall abscess is a one form of phlegmonous gastritis and there are scare reports on this. Gastric wall abscess is a purulent inflammatory disease and it is commonly caused by a focal injury to the gastric mucosa such as a penetrating trauma from an ingested foreign body or an endoscopic biopsy where by bacterial infection occurs throughout all the layers of the gastric wall. With symptoms such as abdominal pain and fever, making the diagnosis after an operation was possible in the past, but it has recently become possible to make the diagnosis before the operation via esophagogastroduodenoscopy, endoscopic ultrasonography and/or abdominal computed tomography. We recently experienced a case of gastric wall abscess that was associated with a foreign body (presumably a fish bone) in a healthy middle aged woman. By performing generalized esophagogastroduodenoscopy and abdominal computed tomography at a primary medical institution, we made an early diagnosis and treated the patient. Herein, we report on this case and we review the relevant literature. (Korean J Gastrointest Endosc 2011;42:105-108)

2,364 View
18 Download

A Case of Gastric Wall Abscess Associated with Gastritis Cystica Profunda: Jin Hong Park, M.D.*, Hyong Wook Kim, M.D., Won Il Park, M.D., Jong Yun Cheong, M.D., Dong Hyun Lee, M.D., Jeong Heo, M.D., Gwang Ha Kim, M.D., Dae Hwan Kang, M.D., Geun Am Song, M.D., Mong Cho, M.D. and Ung Suk Yang, M.D.; Korean J Gastrointest Endosc 2004;29(6):509-513. Published online December 30, 2004

Abstract PDF: Gastric wall abscess is a form of phlegmonous gastritis and has been very rarely reported. The pathogenesis of gastric wall abscess is thought to involve a focal injury to the gastric mucosa such as a penetrating trauma from an ingested foreign body or an endoscopic biopsy, where by bacterial infection occurs. Gastritis cystica profunda is a rare disease in which hyperplasia of mature glandular epithelium extends into the tissues beneath the submucosa. It shows multiple small cysts in the mucosa and submucosa of the stomach. To our knowledge, the association of gastric wall abscess with gastritis cystica profunda has never been reported yet. We, recently, experienced a case of gastric wall abcess associated with gastritis cystica profunda. Herein, we report it with a brief review with literatures. (Korean J Gastrointest Endosc 2004;29:509⁣513)

2,147 View
10 Download

Search