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Endosonographic diagnosis and follow‐up of phlegmonous gastritis
Author(s) -
Kanno Yukiko,
Irisawa Atsushi,
Takagi Tadayuki,
Shibukawa Goro,
Wakatsuki Takeru,
Suzuki Eiji,
Iwadate Haruyo,
Sasajima Tomomi,
Imamura Hidemichi,
Takahashi Yuta,
Hikichi Takuto,
Ohira Hiromasa
Publication year - 2007
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.20333
Subject(s) - medicine , submucosa , lesion , gastritis , endoscopy , endoscopic ultrasound , gastroenterology , radiology , surgery , pathology , stomach
We report a case of phlegmonous gastritis in a 36‐year‐old man presenting with anorexia, epigastralgia, and high fever. Endoscopy showed an edematous lesion suggesting a submucosal lesion. Endosonography revealed thickening of the gastric wall, mainly involving the submucosa, with a few anechoic areas. The separation between the submucosa and the muscularis propria was unclear. The patient was treated with antibiotics and endoscopic mucosal resection. Culture of the aspirated pus from the lesion revealed Streptococcus pyogenes. Follow‐up endosonography performed 1 week later showed significant improvement. © 2007 Wiley Periodicals, Inc. J Clin Ultrasound, 2007