ID 110585
Title Transcription
ソウキ イガン ガ ゲンイン ト カンガエラレタ キュウセイ イ ホウカシキエン ノ 1レイ
Title Alternative
A case of acute phlegmonous gastritis due to early gastric cancer
Author
Masamune, Katsuhiro Department of Surgery, Shikoku Central Hospital
Konegawa, Ryuji Department of Surgery, Shikoku Central Hospital
Hanaki, Norikazu Department of Surgery, Shikoku Central Hospital
Iuchi, Masahiro Department of Surgery, Shikoku Central Hospital
Keywords
acute phlegmonous gastritis
early gastric cancer
gastrectomy
Content Type
Journal Article
Description
This paper describes a case of acute phlegmonous gastritis due to early gastric cancer diagnosed by the gastroendoscopic findings, the intraoperative findings and the histological diagnosis. A 58-year-old man presented with fever, nausea, vomiting and rapidly progressive upper abdominal pain. Gsatrofiberscopy showed remarkable redness and mucosal edema on the distal half portion of the stomach, and the ulcerated lesion in the antrum. We operated him emergently as suspected perforation of the stomach, and found the stomach swelling on the middle body to the antrum with remarkable wall thickness and redness under the laparotomy. Distal gastrectomy was performed on the diagnosis of acute phlegmonous gastritis. Histopathologic examination disclosed that the ulcerated lesion in the antrum was the early gastric cancer, 2.0×1.5cm, well-differentiated adenocarcinoma. The antrum around it had the thickest wall with severe inflammation including neutrophilic infiltration and microabcess, which was also observed to the middle body, although less severe. Acute phlegmonous gastritis is a nonspecific supprant inflammation that is as uncommon as only 111 cases described in the Japanese literature, including the present case. The pathogenesis is still unclear, although predisposing factors like mucosal injury, achlorhydria and immunocompromised state have been mentioned.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
59
Issue
1-2
Start Page
52
End Page
56
Sort Key
52
Published Date
2003-04-25
Remark
P.56誤記あり(誤)Touru Imura → (正) Satoru Imura (誤) Tokuichi Hanaki → (正) Norikazu Hanaki
FullText File
language
jpn
TextVersion
Publisher
departments
University Hospital