Korean J Gastrointest Endosc > Volume 41(2); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;41(2): 98-101.
내시경적 배액술로 치료한 생선뼈에 의한 위벽내 농양 1예
전원정ㆍ류종선ㆍ조용찬ㆍ노두영ㆍ김성균ㆍ김현수ㆍ최성규
전남대학교 의과대학 내과학교실
Gastric Wall Abscess Caused by a Fish Bone and Treated with Endoscopic Management
Won Jung Jun, M.D., Jong Sun Rew, M.D., Yong Chan Cho, M.D., Du Young Noh, M.D., Sung Kyun Kim, M.D., Hyen Soo Kim, M.D. and Sung Kyu Choi, M.D.
Department of Internal Medicine, Chonnam National University College of Medicine, Gwangju, Korea
Abstract
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. (Korean J Gastrointest Endosc 2010;41:98-101)
Key Words: Gastric abscess, Suppurative gastritis, Fish bone, Endoscopic treatment
주요어: 위농양, 화농성 위염, 생선뼈, 내시경적 치료
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